Individual
JEREMY HARRISON SEVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 E 1600 S, OREM, UT 84058-7816
(208) 360-4703
Mailing address
148 E 1600 S, OREM, UT 84058-7816
(208) 360-4703
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
14244993-4810
UT
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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