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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAEDON FLAKE, DPT

Active

JAEDON FLAKE, DPT is a Physical Therapy Assistant healthcare provider located in MURRAY, Utah. NPI 1184350498 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MURRAY, UT

Registration Details

NPI Number
1184350498
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2022 (4.0585325831453 yrs)
Last Updated
Jul 28, 2022
Licenses
1011890 (MN)
2019032972 (UT)
12715 (MN)
12925560-2401 (UT)

Practice Information

Address
5121 S COTTONWOOD ST
MURRAY, UT, 841075701
Browse UT providers · Browse ZIP 84107
Phone
8015072050
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in MURRAY, UT

Name Credential NPI
MR. ROGER L. LARSON P.T. 1699759357
SCOTT PAUL FROST MPT 1598733297
MS. SARAH LEIGH MARCHANT P.T. 1528037546
MR. JOHN TRENT CASPER MPT 1730109760
MRS. KIMBERLEE JACOB HATTON MPT 1225149099
SPENCER CRAIG KELLEY PT 1245312230
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.