Individual
MS. JENNY ALYSSA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
5848 FASHION BLVD, MURRAY, UT 84107-6121
(801) 314-4040
Mailing address
4033 PROSPECTOR DR, SALT LAKE CITY, UT 84121-4610
(801) 942-4033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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