NPI 1477361004

Jesse Lee McDonald, DACM

Practitioner Acupuncturist Draper, UT

Practice location

Address: 12422 S 450 E STE C, Draper, UT 84020-5645
Phone: (385) 308-4140

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 14184489-1201 (UT)

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Registry record

NPI: 1477361004
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2024
Record last updated: 30 Dec 2024

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.