Flake, Jaedon

Flake, Jaedon is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Flake, Jaedon can be contacted via phone (801) 507-2050.

Contact Information

Primary practice address
5121 S Cottonwood St Murray UT 84107-5701
Phone: (801) 507-2050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 1011890 Minnesota
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 2019032972 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12715 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12925560-2401 Utah

Profile Details

NPI number 1184350498
LBN Legal business name Flake, Jaedon
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2022
Last updated Jul 28th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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