IndividualActive
Jayne Bradshaw, LMT
NPI 1073291605 · Prevention Professional · West Jordan, UT
Provider details
- NPI number
- 1073291605
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 349456-4701 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
8817 S Redwood Rd Ste C
West Jordan, UT 84088-9271
Phone: (801) 860-4325
Approximate (ZIP-level) locationGet directions
Mailing address
8817 S Redwood Rd Ste C
West Jordan, UT 84088-9271
Registry dates
- Enumerated
- 2023-07-05
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.