Individual
JAKE GROESBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
186 N 100 E STE A, KAYSVILLE, UT 84037-1904
(801) 897-8711
(385) 333-7202
Mailing address
186 N 100 E STE A, KAYSVILLE, UT 84037-1904
(801) 897-8711
(385) 333-7202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12250312-4701
UT
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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