| Doctor Name: | MR. JESSE MAX ROWELL |
| NPI Number: | 1457580169 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OT |
| License Number: | 7364777-4201 |
| Business Practice Address: | 425 S Vernal Ave Vernal, UT - 840783237 |
| Business Phone Number: | 4357811502 |
| Business Fax Number: | 4357811505 |
| Mailing Address: | 590 E 100 N, Suite 1 & 2 PRICE |
| State: | UT |
| Postal Code: | 845012640 |
| Phone Number: | 4356131500 |
| Fax Number: | 4356131502 |
| NPI Enumeration Date: | 07/02/2009 |
| NPI Last Update Date: | 07/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 7364777-4201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |