Organization Name: | JLI LC |
NPI Number: | 1881020378 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON LAME (OWNER) |
Mailing Address: | 11075 S State St Bldg. 35 Sandy |
State: | UT US |
Postal Code: | 840705164 |
Phone Number: | 8019901990 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2013 |
NPI Last Update Date: | 09/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2780612401 |
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 |