IndividualActive
Abigail Jacketta, CST
NPI 1265244792 · Surgical Technologist · Salt Lake City, UT
Provider details
- NPI number
- 1265244792
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST
- Sex
- Female
- Sole proprietor
- No
- License
- 187674 (UT)
Practice location
65 S Mario Capecchi Dr
Salt Lake City, UT 84132-0005
Phone: (801) 581-2352
Mailing address
14181 S Hollow Vista Cv
Herriman, UT 84096-3957
Registry dates
- Enumerated
- 2025-01-22
- Last updated
- 2025-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.