Individual
JEREMY KLEBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-4177
(801) 581-2121
Mailing address
1571 S 850 W, WOODS CROSS, UT 84087-1753
(801) 231-2102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8351185-4201
UT
Other
Enumeration date
06/03/2021
Last updated
02/25/2022
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