| Doctor Name: | MISS JENEE LEE TRCKA |
| NPI Number: | 1043366222 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 6434200-2401 |
| Business Practice Address: | 680 E Main St Suite 101 Lehi, UT - 840432241 |
| Business Phone Number: | 8017682723 |
| Business Fax Number: | |
| Mailing Address: | 539 S 900 W, #305 PLEASANT GROVE |
| State: | UT |
| Postal Code: | 840622385 |
| Phone Number: | 2144505363 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 6434200-2401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |