IndividualActive
Jacob Reesor, DC
NPI 1124536503 · Sports Physician Chiropractor · Salt Lake City, UT
Provider details
- NPI number
- 1124536503
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10668583-1202 (UT)
Practice location
3980 S 700 E Ste 23
Salt Lake City, UT 84107-2530
Phone: (801) 641-6571
Mailing address
3980 S 700 E Ste 23
Salt Lake City, UT 84107-2530
Registry dates
- Enumerated
- 2018-01-18
- Last updated
- 2018-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.