Jody R Jacobs MTRS MED

NPI 1326259268 - Recreation Therapist - 225800000X

NPI Details
NPI 1326259268
Gender Female
Enumeration Date 05/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
50 NORTH MEDICAL DR
SALT LAKE UT, 84132, US
Phone (801) 339-9489
Fax
Business Location
2820 OQUIRRH DR
SALT LAKE CITY UT, 84108-2036, US
Phone (801) 466-4141
Fax
Toxanomy
Taxonomy Code 225800000X
License State Utah
License Number 1026934001
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According to our database, Ms. Jody R Jacobs MTRS MED NPI is 1326259268, taxonomy code is 225800000X and license number is 1026934001, license state is located at Utah. Jody R Jacobs MTRS MED physically located at 50 North Medical Dr, Salt Lake UT, 84132. NPI Number Jody R Jacobs MTRS MED has the Individual type.

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1326259268 NPI number is provided on an as is basis without warranty of any kind. 1326259268 is maintained by the National Plan & Provider Enumeration System. The contents of Jody R Jacobs MTRS MED are for informational purposes only.