Individual
TREVOR GLENN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1986 N HILL FIELD RD STE 7A, LAYTON, UT 84041-2112
(801) 820-6303
Mailing address
990 MEDICAL DR STE UL1, BRIGHAM CITY, UT 84302-4714
(435) 723-2311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12458426-1202
UT
Other
Enumeration date
09/28/2021
Last updated
07/29/2022
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