Individual
JACOB RADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
324 E 10TH AVE, SALT LAKE CITY, UT 84103-2853
(801) 408-5735
(801) 408-1659
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13462088-2401
UT
Other
Enumeration date
07/27/2023
Last updated
05/23/2024
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