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Jacob Reynolds
NPI 1710679386 · on the registry since 2023
Practice
- Address
- 2090 E 2100 S
Slc, UT 84109 - Phone
- (801) 486-1155
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-04
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