Tidswell, Jessica J
Tidswell, Jessica J is an individual health care provider with primary practice located at 2760 Rasmussen Rd Suite D2-D3, Park City UT 84098-5684. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tidswell, Jessica J can be contacted via phone (801) 718-5378.Contact Information
Primary practice address
2760 Rasmussen Rd Suite D2-D3
Park City UT 84098-5684
Phone: (801) 718-5378
Fax: (801) 718-5378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5080663-2401 | Utah |
Profile Details
| NPI number | 1952593568 |
|---|---|
| LBN Legal business name | Tidswell, Jessica J |
| Credentials | PT, DPT, SCS, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Dec 27th, 2021 - 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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