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Jake Coburn Davis, CPO,MSPO
Prosthetist in Richfield, Utah
NPI 1841824521

Jake Coburn Davis is a Prosthetist based in Richfield, UT. Jake Coburn Davis practices in Richfield, UT and has the professional credentials of CPO,MSPO. The NPI Number for Jake Coburn Davis is 1841824521 and holds a License No. CO005925 (Utah).

The current practice location address for Jake Coburn Davis is 635 N Main St Ste 691, Richfield, UT and can be reached out via phone at 801-820-0087 and via fax at 801-820-2852.

Location: 635 N Main St Ste 691, Richfield, UT, 84701-1895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841824521
Provider Name
Jake Coburn Davis
Credential
CPO,MSPO
Provider Entity Type
Individual
Gender
Male
Address
635 N Main St Ste 691, Richfield, UT, 84701-1895
Phone Number
801-820-0087
Fax Number
801-820-2852
Provider Enumeration Date
03/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
635 N Main St Ste 691
City
Richfield
State
Utah
Zip
84701-1895
Phone Number
801-820-0087
Fax Number
801-820-2852
person
Provider Business Mailing Address Details
Address
635 N Main St Ste 691
City
Richfield
State
Utah
Zip
84701-1895
Phone Number
801-820-0087
Fax Number
801-820-2852
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CPO04745 ()
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
CO005925 ()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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institution
Epic Prosthetics And Orthotics Llc
NPI 1629722889
Prosthetist
635 N Main St Ste 691,
RICHFIELD, UT
84701-1895
801-820-0087
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