NPI 1144455833

Jody Quick Wixom, MD

Practitioner Physical Medicine & Rehabilitation Physician Provo, UT

Practice location

Address: 1055 N 300 W STE 410, Provo, UT 84604-3354
Phone: (801) 357-8818
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 5187987-1205 (UT)

Other Physical Medicine & Rehabilitation providers in Utah →

Registry record

NPI: 1144455833
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2009
Record last updated: 5 Sep 2013

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.