Individual
JACKIE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1825 S EAST BAY BLVD, PROVO, UT 84606-5530
(303) 434-3770
Mailing address
794 E 700 N, SPANISH FORK, UT 84660-1646
(303) 434-3770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13453257-2401
UT
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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