Individual
KIERNAN JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
552 W 1425 N APT X, LAYTON, UT 84041-5665
(307) 679-7520
Mailing address
552 W 1425 N APT X, LAYTON, UT 84041-5665
(307) 679-7520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13400749-2401
UT
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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