Organization
VECTOR SPINE AND SPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB DUANE REESOR DC (OWNER)
(801) 641-6571
Entity
Organization
Contact information
Practice address
3980 S 700 E STE 23, MILLCREEK, UT 84107-2530
(801) 456-0352
(801) 456-0351
Mailing address
3980 S 700 E STE 23, MILLCREEK, UT 84107-2530
(801) 456-0352
(801) 456-0351
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
10668583-1202
UT
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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