Jacob Thomas Hendricks, PA-C

NPI #1023793858 in Sandy, Utah

Provider Information

NPI Number: 1023793858
Entity Type: Individual
Name: Jacob Thomas Hendricks, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 20, 2023
Last Updated: Mar 19, 2025

Practice Location

Address: 7998 S 1300 E
City: Sandy
State: Utah
ZIP Code: 84094-0744
Phone: (801) 255-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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