NPI 1093215568

Jessie Balicki

Practitioner Physical Therapist Bountiful, UT

Practice location

Address: 523 N Main St, Bountiful, UT 84010-6036
Phone: (801) 951-2273
Mailing address: 206 N 2100 W, Salt Lake City, UT 84116-4740

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 9251212-2401 (UT)

Other Physical Therapist providers in Utah →

Registry record

NPI: 1093215568
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2018
Record last updated: 20 Feb 2018

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.