Individual
JEFFERY CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5455 W 11000 N STE 107, HIGHLAND, UT 84003-8801
(801) 770-4333
Mailing address
1770 E FORT UNION BLVD, COTTONWOOD HEIGHTS, UT 84121-2876
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11932207-1202
UT
Other
Enumeration date
09/30/2020
Last updated
07/02/2024
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