Provider Demographics
NPI:1235539057
Name:JEFFS, JAMES BOWIE (OTR)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BOWIE
Last Name:JEFFS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 E 1450 S
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-6124
Mailing Address - Country:US
Mailing Address - Phone:435-628-5150
Mailing Address - Fax:435-656-5150
Practice Address - Street 1:1532 E 1450 S
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-6124
Practice Address - Country:US
Practice Address - Phone:435-628-5150
Practice Address - Fax:435-656-5150
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT225X00000X225X00000X
UT225XH1200X225XH1200X
UT225XP0019X225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation