Individual
JACE BRINKERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 S 1000 E STE 25, PAYSON, UT 84651-5595
(801) 465-5610
(801) 465-5615
Mailing address
380 E 400 S, SPRINGVILLE, UT 84663-1958
(801) 489-5669
(801) 489-5783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9634510-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171959388
UTAH DRIVER LICENSE
UT
Enumeration date
02/19/2016
Last updated
02/19/2016
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