IndividualActive
Joe Otero
NPI 1093164576 · Driver · Pleasant Grove, UT
Provider details
- NPI number
- 1093164576
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 214682882 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
610 Mohican Ln
Pleasant Grove, UT 84062-3213
Phone: (801) 850-2909
Approximate (ZIP-level) locationGet directions
Mailing address
610 Mohican Ln
Pleasant Grove, UT 84062-3213
Registry dates
- Enumerated
- 2016-06-06
- Last updated
- 2016-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.