Individual
TRAVIS G. JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5121 COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-5746
Mailing address
10725 SUGARBUSH CT, SOUTH JORDAN, UT 84095-8365
(801) 302-8028
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
359811-8019
UT
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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