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Individual

JILL HODGETT BOETTGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUDIOLOGIST

Contact information

Practice address
44 N MEDICAL DR, SALT LAKE CITY, UT 84113-1105
(801) 584-8215
Mailing address
6333 CRESTMOUNT CIR, SALT LAKE CITY, UT 84121-6350
(801) 278-3926

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
1095929937
UT
235Z00000X
Speech-Language Pathologist
Primary
1095929937
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
999000021002
UT
Enumeration date
08/31/2006
Last updated
09/11/2025
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