Individual
JEREMY EARL NORDFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
1148 N 350 W, LAYTON, UT 84041-4829
(801) 879-2813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11795552-2401
UT
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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