Doctor Name: | JASON MADSEN |
NPI Number: | 1598123614 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 9045613-2401 |
Business Practice Address: | 3580 W 9000 S West Jordan, UT - 840888812 |
Business Phone Number: | 8015618888 |
Business Fax Number: | |
Mailing Address: | 11517 S 4340 W, SOUTH JORDAN |
State: | UT |
Postal Code: | 840098111 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9045613-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |