Individual
JAMIE ANN KIRKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
990 N ALLRED LN, MANTI, UT 84642-1156
(435) 851-0573
Mailing address
990 N ALLRED LN, MANTI, UT 84642-1156
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
14265944-4003
UT
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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