IndividualActive
Scott Jerome, PT
NPI 1861571648 · Pediatric Physical Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1861571648
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 283650-2401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
44 N Medical Dr
Salt Lake City, UT 84113-1105
Phone: (801) 883-4646
Approximate (ZIP-level) locationGet directions
Mailing address
1077 Cliff Side Ct
Sandy, UT 84094-0798
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.