Individual
JACOB DANIEL POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
110 W 1325 N STE 150, CEDAR CITY, UT 84721-8179
(435) 867-6354
(435) 867-1472
Mailing address
110 W 1325 N STE 150, CEDAR CITY, UT 84721-8179
(435) 867-6354
(435) 867-1472
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12275004-1202
UT
111NP0017X
Pediatric Chiropractor
12275004-1202
UT
111NR0400X
Rehabilitation Chiropractor
12275004-1202
UT
111NS0005X
Sports Physician Chiropractor
12275004-1202
UT
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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