Jason Michael Lee

NPI #1043506330 in Midvale, Utah

Provider Information

NPI Number: 1043506330
Entity Type: Individual
Name: Jason Michael Lee
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 24, 2011
Last Updated: Jun 24, 2011

Practice Location

Address: 8142 S STATE ST
Address 2: ATE 103
City: Midvale
State: Utah
ZIP Code: 84047-3210
Phone: (801) 708-9226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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