Individual
DR. JACQUELINE LUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
324 E 10TH AVE STE 100, SALT LAKE CITY, UT 84103-2870
(801) 408-7500
Mailing address
723 RIDGE TOP CIR, NORTH SALT LAKE, UT 84054-2816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12442092-2401
UT
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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