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

DR. JACOB D EREKSON, DPT

Active Sole Proprietor

DR. JACOB D EREKSON, DPT is a Physical Therapy Clinic healthcare provider located in TAYLORSVILLE, Utah. NPI 1407187867 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · TAYLORSVILLE, UT

Registration Details

NPI Number
1407187867
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2010 (16.557633963163 yrs)
Last Updated
May 10, 2016
License
7376354-2401 (UT)
Sole Proprietor
Yes

Practice Information

Address
6321 S REDWOOD RD STE 105
TAYLORSVILLE, UT, 841236799
Browse UT providers · Browse ZIP 84123
Phone
8019043089
Fax
8019043435
Primary Specialty
Physical Therapy Clinic
261QP2000X
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.