Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Sidney Ottley

Individual provider Case Manager/Care Coordinator · NPI 1912564584

Jack Sidney Ottley is a Case Manager/Care Coordinator in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

344 E 100 S
Salt Lake City, UT 84111-1700
Phone: (801) 322-3222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1912564584
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 20, 2019
Last updated in NPPESMay 20, 2019

Other providers in Salt Lake City