Individual
JEFFREY BRAYDON LAVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CPT, CES
Contact information
Practice address
13034 S GLACIER POINT CIR, DRAPER, UT 84020-8882
(801) 347-8949
Mailing address
3983 W DEER HORN DR, RIVERTON, UT 84065-6012
(801) 347-8949
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13243963-2401
UT
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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