IndividualActive
Jacqlyn Ottosen, P.T.
NPI 1598087462 · Pediatric Physical Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1598087462
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- License
- 1208452401 (UT)
Practice location
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-4980
Mailing address
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2010-02-19
- Last updated
- 2010-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.