NPI 1841824521

Jake Coburn Davis, CPOMSPO

Practitioner Prosthetist Richfield, UT

Practice location

Address: 635 N Main St STE 691, Richfield, UT 84701-1895
Phone: (801) 820-0087
Fax: (801) 820-2852

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO04745

Other Prosthetist providers in Utah →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CO005925

Other Orthotist providers in Utah →

Registry record

NPI: 1841824521
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2020
Record last updated: 14 Nov 2022

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.