Individual
JENIFER REBECCA NILSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5648 S. ADAMS AVE, WASHINGTON TERRACE, UT 84405
(801) 475-0500
Mailing address
5648 S ADAMS AVENUE, WASHINGTON TERRACE, UT 84405
(801) 475-0500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
295029-2401
UT
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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