Individual
JAMES GLENDON JEWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-2000
Mailing address
5964 SANDUSKY CIR, MURRAY, UT 84123-5524
(801) 266-2107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
106433-2401
UT
225100000X
Physical Therapist
PT-0497
WY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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