Individual
JORDAN LOVELL SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA, ATC
Contact information
Practice address
333 N 300 W, SALT LAKE CITY, UT 84103-1215
(801) 463-7415
Mailing address
2326 W 11625 S, RIVERTON, UT 84095-7936
(385) 208-8376
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
BOC373277
UT
363A00000X
Physician Assistant
Primary
12227421-1206
UT
Other
Enumeration date
03/02/2020
Last updated
08/19/2025
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