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

Kaitlyn Jack

Individual provider Pediatric Occupational Therapist · NPI 1790422988

Kaitlyn Jack is a Pediatric Occupational Therapist in Taylorsville, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
In the registry since
2022
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Practice location Address checks out

1510 W 5400 S
Taylorsville, UT 84123-5310
Phone: (385) 646-4418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 10931349-4202 (UT)

Record details

NPI number1790422988
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2022
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022
Mailing address2500 S State St, South Salt Lake, UT 84115-3164

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