Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLYN JACK
ActiveKAITLYN JACK is a Pediatric Occupational Therapist healthcare provider located in TAYLORSVILLE, Utah. NPI 1790422988 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · TAYLORSVILLE, UT
Registration Details
- NPI Number
- 1790422988
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2022 (4.2053098296802 yrs)
- Last Updated
- May 18, 2022
- License
-
10931349-4202 (UT)
Practice Information
- Address
-
1510 W 5400 STAYLORSVILLE, UT, 841235310Browse UT providers · Browse ZIP 84123
- Phone
- 3856464418
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in TAYLORSVILLE, UT
| Name | Credential | NPI |
|---|---|---|
| THERESA ANN GOLLEY | O.T.D. | 1558502385 |
| ANNA MARIE CLARK | OTR/L | 1366858490 |
| EMMA FERTELL | — | 1518577857 |
| KYLIE JO FEHRMAN | OTR | 1295584787 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.