Individual
STEVEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1868 W 9800 S # 200, SOUTH JORDAN, UT 84095-4713
(801) 676-2210
Mailing address
9844 S 1300 E STE 300, SANDY, UT 84094-4693
(801) 572-0690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11322518-2401
UT
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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