Individual
JAXON REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1492 W ANTELOPE DR STE 100, LAYTON, UT 84041-1151
(801) 876-1676
Mailing address
1492 W ANTELOPE DR STE 100, LAYTON, UT 84041-1151
(801) 876-1676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12550403-2401
UT
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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