Healthcare Provider Details

I. General information

NPI: 1932044583
Provider Name (Legal Business Name): DEVYN JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 S HIGHWAY 165
PROVIDENCE UT
84332-9512
US

IV. Provider business mailing address

1363 S 800 W
PRESTON ID
83263-5445
US

V. Phone/Fax

Practice location:
  • Phone: 435-755-3360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: