Individual
JALYSA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
150 W 100 N, VERNAL, UT 84078-2036
(435) 789-6757
Mailing address
150 W 100 N, VERNAL, UT 84078-2036
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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