Jacob Duane Reesor
Chiropractic Sports Physician
3980 S 700 E Ste 23
Salt Lake City
, Utah 84107-2530
Jacob Duane Reesor
Chiropractic Sports Physician
3980 S 700 E Ste 23
Salt Lake City
, Utah 84107-2530
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Jacob Duane Reesor
- 3980 S 700 E Ste 23
- Salt Lake City, UT
- Zip : 84107-2530
- Phone :
Second Address
- Jacob Duane Reesor
- 3980 S 700 E Ste 23
- Salt Lake City, UT
- Zip : 84107-2530
- Phone : (801) 641-6571
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 10668583-1202 | UT |
National Provider Identifier
| NPI | 1124536503 |
|---|---|
| Provider Name | Jacob Duane Reesor |
| First Address | Salt Lake City, UT 84107-2530 |
| Second Address | Salt Lake City, UT 84107-2530 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2018 |
| Last Update Date | 18/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.