NPI 1073291605

Jayne Marie Bradshaw, LMT

Practitioner Prevention Professional West Jordan, UT

Practice location

Address: 8817 S Redwood Rd STE C, West Jordan, UT 84088-9271
Phone: (801) 860-4325

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 349456-4701 (UT)

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Registry record

NPI: 1073291605
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2023
Record last updated: 5 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.