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Search › Utah › 225100000X

Jacob Penrose, DPT, CWS

NPI 1811445216 · on the registry since 2016 · sole proprietor

Practice

Address
209 W 300 N
Logan, UT 84321
Phone
(435) 716-8535
Organisation at this address
Sunshine Terrance
Sunshine Terrace Foundation, Inc
Sunshine Terrace Foundation, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-14

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