Jenny Alyssa Jacobs, MS, ATC
Specialist/Technologist, Athletic Trainer in Murray, UT. Individual provider (NPI-1).
NPI number1962562876
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1962562876
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jenny Alyssa Jacobs
- Credential
- MS, ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
5848 Fashion BlvdMurray, UT 84107-6121
Phone 801-314-4040
Mailing address
4033 Prospector DrSalt Lake City, UT 84121-4610
Phone 801-942-4033
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