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

Jacob Watts

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164279394

Jacob Watts is a Student in an Organized Health Care Education/Training Program in Midvale, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

91 E Fort Union Blvd
Midvale, UT 84047-1531
Phone: (801) 569-1995
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (UT)

Record details

NPI number1164279394
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 5, 2024
Mailing address1113 N 3000 E, Layton, UT 84040-3007

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