JACOB DUANE REESOR


Address: 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530
Phone: 8016416571

JACOB DUANE REESOR (NPI# 1124536503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124536503
Entity Type Individual
Full Name JACOB DUANE REESOR
Credential DC
Practice Address 3980 S 700 E Ste 23
Salt Lake City
UT 84107-2530
Practice Telephone 8016416571
Enumeration Date 2018-01-18
Last Update Date 2018-01-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
10668583-1202 UT Chiropractic Providers

Office Location

Street Address 3980 S 700 E STE 23
City SALT LAKE CITY
State UT
Zip Code 84107-2530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790022382 Bradley Alan Anderson Chiropractor 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 2013-01-15
1770951139 Health In Motion Chiropractic and Human Performance Clinic/Center 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 2015-09-02
1508103193 Salt Lake Sports Chiropractic Clinic/Center 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 2013-01-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457449290 Jeffrey Hebert Chiropractor 6360 S 3000 E, Suite 360, Salt Lake City, UT 84121-6923 2006-10-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144844523 Richard Mason Stewart IIi Chiropractor 12371 S 900 E Ste 101, Draper, UT 84020-9834 2020-06-02
1356820609 Jared Wadsworth Chiropractor 2230 N University Pkwy #6b, Provo, UT 84604-8460 2018-08-08
1124517982 Aspen Summit Chiropractic and Wellness Chiropractor 726 South 1600 West Suite 101, Mapleton, UT 84664 2018-05-08
1558875930 Garrett Dean Barfoot Chiropractor 2080 Gold Dust Ln Ste 1, Park City, UT 84060-7294 2017-11-21
1396159885 Tyler Leroy Nelson Chiropractor 1951 W 4700 S Ste 2, Taylorsville, UT 84129-1108 2014-06-12
1922347137 James Garrett Eagar Chiropractor 510 E 770 N, Orem, UT 84097-4101 2013-02-07
1932430782 Russell D. Jepson Chiropractor 301 N 200 E Ste 2a, St George, UT 84770-3040 2010-01-19
1689813446 Elite Performance Health Center, PC Chiropractor 3630 W South Jordan Parkway, Suite 102, South Jordan, UT 84095-7153 2009-02-18
1003055534 Brigham Lundahl Chiropractor 358 W Saint George Blvd, St George, UT 84770-3352 2009-02-06
1770757569 Matthew David Smith Chiropractor 13552 S 110 W, Ste 204, Draper, UT 84020-2403 2008-04-14
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Competitor

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City SALT LAKE CITY
Zip Code 84107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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