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Individual

JESSICA BIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, MBA

Contact information

Practice address
579 HERITAGE PARK BLVD STE 223, LAYTON, UT 84041-5721
(480) 432-6367
Mailing address
3098 W 525 N, WEST POINT, UT 84015-7437
(480) 432-6367

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
11499140-4701
UT
173C00000X
Reflexologist
11499140-4701
UT
208VP0000X
Pain Medicine Physician
11499140-4701
UT
225700000X
Massage Therapist
Primary
11499140-4701
UT
226300000X
Kinesiotherapist
11499140-4701
UT

Other

Enumeration date
08/23/2024
Last updated
08/23/2024
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