Individual
JACOB THOMAS HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7998 S 1300 E, SANDY, UT 84094-0744
(801) 255-2000
(801) 352-7185
Mailing address
10433 S REDWOOD RD, SOUTH JORDAN, UT 84095-8502
(801) 260-1919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13411972-1206
UT
Other
Enumeration date
06/20/2023
Last updated
03/31/2026
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