Individual
MR. JEFFREY SCOTT DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-2000
Mailing address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-2000
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7366852-2402
PHYSICAL THERAPISTS ASSISTANT LICENSE
UT
Enumeration date
11/23/2010
Last updated
11/23/2010
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