NPI 1023495132

James Glines

Practitioner Physical Therapy Assistant Sandy, UT

Practice location

Address: 11333 S 1000 E 101, Sandy, UT 84094-5428
Phone: (801) 456-9898
Fax: (801) 456-9999

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 7387053-2402 (UT)

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Registry record

NPI: 1023495132
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2015
Record last updated: 28 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.