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NPI Code Detail

MEDICARE: JADA JOHNSON FLAMANG

MEDICARE: JADA JOHNSON FLAMANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist11431232-2401UT

General Provider Information

NPI Number : 1548131808
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADA JOHNSON FLAMANG
Provider Business Mailing Address
First Line : 1015 S VISTA VIEW DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108-2522
Country : US
Telephone Number : 801-448-2733
Fax Number :
Provider Business Practice Location Address
First Line : 1265 E FORT UNION BLVD STE 110
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84047-1807
Country : US
Telephone Number : 801-849-0198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2025
Last Update Date : 09/17/2025

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Directions to “ JADA JOHNSON FLAMANG ” Practice Location

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