| Doctor Name: | REUBEN T JESSOP |
| NPI Number: | 1730294406 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 59301562401 |
| Business Practice Address: | 1034 N 500 W Provo, UT - 846043380 |
| Business Phone Number: | 8013737850 |
| Business Fax Number: | |
| Mailing Address: | Po Box 30180, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841300180 |
| Phone Number: | 8013577475 |
| Fax Number: | 8013577997 |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 59301562401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |