Individual
JAE TRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
249 E TABERNACLE ST, ST GEORGE, UT 84770-2978
(727) 430-4940
Mailing address
249 E TABERNACLE ST, ST GEORGE, UT 84770-2978
(727) 430-4940
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225200000X
Physical Therapy Assistant
24925
FL
Other
Enumeration date
08/24/2015
Last updated
01/17/2023
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