Individual
JEREMY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHCM
Contact information
Practice address
60 S MAIN ST STE 5, TOOELE, UT 84074-2168
(435) 255-6150
Mailing address
60 S MAIN ST STE 5, TOOELE, UT 84074-2168
(435) 255-6150
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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