Individual
MR. JACOB BLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
636 E STATE RD, AMERICAN FORK, UT 84003-2151
(801) 492-6577
(801) 402-6579
Mailing address
4772 CADDIE LANE, HIGHLAND, UT 84003
(650) 804-9300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9517246-2401
UT
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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