NPI 1154164671
Jessica Johnson, TRT
Practice location
- Address
- 3520 S Highland Dr, Salt Lake City, UT 84106-3211
- Phone
- (801) 520-3622
Registered specialties
Recreational Therapist Assistant
Primary
Registry record
- NPI
- 1154164671
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jun 2024
- Record last updated
- 13 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.