Individual
JEWELIANNA RAE WILLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
655 E 400 S STE D, SPRINGVILLE, UT 84663-2039
(385) 398-1915
Mailing address
1200 E 520 S, PROVO, UT 84606-5338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
142015022402
UT
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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