JACKIE SOTO

PROVO, UT
NPI1205519196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  13453257-2401)
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
JACKIE SOTO PT, DPT
1825 S EAST BAY BLVD
PROVO, UT 84606-5530
Phone number: 303-434-3770
Mailing Address
JACKIE SOTO PT, DPT
794 E 700 N
SPANISH FORK, UT 84660-1646
Phone number: 303-434-3770