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Jacob Dastrup
NPI 1619501368 · on the registry since 2020
Practice
- Address
- 487 E 1000 S Ste A
Pleasant Grove, UT 84062 - Phone
- (801) 893-6399
- Organisation at this address
- Sonatix Wellness
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah