Individual
JENNESA ATHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(815) 814-3398
Mailing address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(815) 814-3398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
048452
NY
225100000X
Physical Therapist
Primary
070.026050
IL
225100000X
Physical Therapist
11-06870
KS
225100000X
Physical Therapist
14933-24
WI
225100000X
Physical Therapist
2354
SD
225100000X
Physical Therapist
301084
CA
225100000X
Physical Therapist
9333
SC
225100000X
Physical Therapist
PT026454
PA
225100000X
Physical Therapist
PT38040
FL
225100000X
Physical Therapist
PTH10420
AL
Other
Enumeration date
11/27/2017
Last updated
03/15/2022
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