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Jacob Pattillo, ATC
NPI 1891129912 · on the registry since 2013 · sole proprietor
Practice
- Address
- 233 W Montrose Ave
Salt Lake City, UT 84101 - Phone
- (801) 209-3880
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-26
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