JONATHAN VIRGIL JACOBSEN

LEHI, UT
NPI1619027836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  53121142401)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
-- JONATHAN VIRGIL JACOBSEN MPT
680 E MAIN ST STE 101
LEHI, UT 84043-2251
Phone number: 801-768-2723
Mailing Address
-- JONATHAN VIRGIL JACOBSEN MPT
1123 N 1300 E
LEHI, UT 84043-9009
Phone number: 801-766-3729