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NPI Code Detail

MEDICARE: MS. LOUISE LOKEY JARVIS PT MA

MEDICARE: MS. LOUISE LOKEY JARVIS PT MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1100602401UT

General Provider Information

NPI Number : 1043382708
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LOUISE LOKEY JARVIS PT MA
Provider Business Mailing Address
First Line : 6146 NEW HAVEN DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121
Country : US
Telephone Number : 801-979-5825
Fax Number :
Provider Business Practice Location Address
First Line : 6146 NEW HAVEN DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-6527
Country : US
Telephone Number : 801-979-5825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 01/02/2008

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Directions to “ MS. LOUISE LOKEY JARVIS PT MA” Practice Location

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