Individual
JACOB DUANE REESOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3980 S 700 E STE 23, SALT LAKE CITY, UT 84107-2530
(801) 641-6571
Mailing address
3980 S 700 E STE 23, SALT LAKE CITY, UT 84107-2530
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
10668583-1202
UT
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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