NPI 1114386620
Jacob Jackson, DC
Practice location
- Address
- 5801 S Fashion Blvd Suite 210, Murray, UT 84107-6159
- Phone
- (801) 923-2882
- Fax
- (801) 506-0134
Registered specialties
Orthopedic Chiropractor
Primary
Registry record
- NPI
- 1114386620
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Feb 2016
- Record last updated
- 28 Oct 2016
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.