Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY CHRISTOPHER MCCORRISTIN, DPT
Active Sole ProprietorJEREMY CHRISTOPHER MCCORRISTIN, DPT is a Physical Therapy Assistant healthcare provider located in HOLLADAY, Utah. NPI 1205320645 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HOLLADAY, UT
Registration Details
- NPI Number
- 1205320645
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2018 (8.1149534257833 yrs)
- Last Updated
- Jun 19, 2018
- License
-
7958137-2401 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4782 S HOLLADAY BLVDHOLLADAY, UT, 841175444Browse UT providers · Browse ZIP 84117
- Phone
- 8012777002
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in HOLLADAY, UT
| Name | Credential | NPI |
|---|---|---|
| ALBERT CHANDLER | PT, CPED | 1477599710 |
| MR. STANLEY ARDEL BINGHAM | P.T. | 1417002940 |
| NATHAN PAUL PHILPOTT | DPT | 1104138817 |
| JILL WENNESON | MSPT | 1639426000 |
| MICHELLE OWENS | DPT, ATC | 1780093146 |
| MATTHEW CHAUS | — | 1811577406 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.