Individual
HAILEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
360 S STATE ST UNIT C323, OREM, UT 84058-5756
(870) 273-5228
Mailing address
1157 N 300 W, PROVO, UT 84604-6124
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
13130887-4810
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13130887-4810
STATE LICENSURE
UT
Enumeration date
12/09/2022
Last updated
12/09/2022
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