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

Individual provider Occupational Therapist · NPI 1548621907

Jacob Holm, OTR/LWCC is an Occupational Therapist in Enoch, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2016
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Practice location Address checks out

4753 N Pearly Ln
Enoch, UT 84721-7489
Phone: (435) 590-2478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 7257853-4201 (UT)

Record details

NPI number1548621907
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/LWCC
Sole proprietorYes
NPI enumeratedMarch 14, 2016
Last updated in NPPESMarch 14, 2016