Jeremy Christopher Mccorristin, DPT

NPI #1205320645 in Holladay, Utah

Provider Information

NPI Number: 1205320645
Entity Type: Individual
Name: Jeremy Christopher Mccorristin, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 19, 2018
Last Updated: Jun 19, 2018

Practice Location

Address: 4782 S HOLLADAY BLVD
City: Holladay
State: Utah
ZIP Code: 84117-5444
Phone: (801) 277-7002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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