Individual provider · Type 1 NPI

Jacob Thomas Hendricks, PA-C

Physician Assistant · Sandy, UT

NPI number 1023793858 Active

Practice location

7998 S 1300 E
Sandy, UT 84094-0744

Fax (801) 352-7185

Mailing address

10433 S Redwood Rd
South Jordan, UT 84095-8502

Other practice locations

  • 10433 S Redwood Rd, South Jordan, UT 84095-8502 · (801) 260-1919

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13411972-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023793858

Jacob Thomas Hendricks, PA-C's National Provider Identifier is 1023793858, issued on Jun 20, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sandy, UT. The record was last updated on Mar 31, 2026.