NPI 1083378194
Jake Groesbeck, LMT
Practice location
- Address
- 186 N 100 E STE a, Kaysville, UT 84037-1904
- Phone
- (801) 897-8711
- Fax
- (385) 333-7202
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1083378194
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Oct 2021
- Record last updated
- 25 Oct 2021
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.