Jake Coburn Davis, CPO, MSPO
Jake Coburn Davis, CPO, MSPO is an Orthotist in Richfield, Utah. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
635 N Main St Ste 691Richfield, UT 84701-1895
Phone: (801) 820-0087
Fax: (801) 820-2852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence CPO04745 |
|---|---|
| Orthotist | Taxonomy 222Z00000X · Licence CO005925 |
Record details
| NPI number | 1841824521 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPO , MSPO |
| Sole proprietor | No |
| NPI enumerated | March 3, 2020 |
| Last updated in NPPES | November 14, 2022 |
| Certification date | November 14, 2022 |
Other providers in Richfield
-
Epic Prosthetics and Orthotics LLC
635 N Main St Ste 691, Richfield, UT 84701-1895 · (801) 820-0087