MS. Jody R Jacobs, MTRS MED

NPI #1326259268 in Salt Lake, Utah

Provider Information

NPI Number
1326259268
Entity Type
Individual
Name
MS. Jody R Jacobs, MTRS MED
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Recreation Therapist
Credential
MTRS MED
Enumeration Date
May 24, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
50 NORTH MEDICAL DR
State
Utah
ZIP Code
84132
Phone
(801) 339-9489

Specialties & Taxonomy Codes

Specialty
Recreation Therapist

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