Individual
DR. JESSICA J TIDSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, SCS, ATC
Contact information
Practice address
2760 RASMUSSEN RD, SUITE D2-D3, PARK CITY, UT 84098-5684
(801) 718-5378
(801) 718-5378
Mailing address
515 ASPEN DR, PARK CITY, UT 84098-5134
(801) 718-5378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5080663-2401
UT
Other
Enumeration date
08/16/2007
Last updated
12/27/2021
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