Individual provider · Type 1 NPI

Jacob Thiede

Student in an Organized Health Care Education/Training Program · St. George, UT

NPI number 1689233587 Active

Practice location

491 E Riverside Dr Ste 3A
St. George, UT 84790-7056

Call (801) 980-2566 Map

Mailing address

2461 S 780 W
Hurricane, UT 84737-2648

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

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About NPI 1689233587

Jacob Thiede's National Provider Identifier is 1689233587, issued on Jun 13, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. George, UT. The record was last updated on Dec 23, 2024.