Individual
JESSICA NICOLE BAUERKEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1265 E FORT UNION BLVD, STE 110, COTTONWOOD HEIGHTS, UT 84047-1808
(801) 849-0198
(801) 849-0492
Mailing address
1265 E FORT UNION BLVD, STE 110, COTTONWOOD HEIGHTS, UT 84047-1808
(801) 849-0198
(801) 849-0492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9062634-2401
UT
Other
Enumeration date
08/25/2014
Last updated
05/03/2015
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