Individual
JONATHAN SAMUEL EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3741 W 12600 S STE 200, RIVERTON, UT 84065-7215
(012) 853-4008
(801) 285-3401
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13405241-2401
UT
Other
Enumeration date
03/12/2025
Last updated
04/18/2025
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