Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK LAVON JORGENSEN, M.S., P.T.
Active Sole ProprietorMARK LAVON JORGENSEN, M.S., P.T. is a Physical Therapy Assistant healthcare provider located in PARADISE, Utah. NPI 1578826947 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PARADISE, UT
Registration Details
- NPI Number
- 1578826947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2012 (14.111066380852 yrs)
- Last Updated
- May 15, 2015
- License
-
269867-2401 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
345 E 9500 SPARADISE, UT, 843288903Browse UT providers · Browse ZIP 84328
- Phone
- 4357640710
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.