Individual
JORDAN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2180
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9633266-2401
UT
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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