Jackie Soto, PT, DPT

NPI #1205519196 in Provo, Utah

Provider Information

NPI Number: 1205519196
Entity Type: Individual
Name: Jackie Soto, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Aug 8, 2023
Last Updated: Aug 8, 2023

Practice Location

Address: 1825 S EAST BAY BLVD
City: Provo
State: Utah
ZIP Code: 84606-5530
Phone: (303) 434-3770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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