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

Kristy Ann Jack, CCC

Individual provider Speech-Language Pathologist · NPI 1750020350

Kristy Ann Jack, CCC is a Speech-Language Pathologist in South Salt Lake, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
In the registry since
2022

Practice location Address checks out

2500 S State St
South Salt Lake, UT 84115-3164
Phone: (385) 646-0545
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 9438741-4102 (UT)

Record details

NPI number1750020350
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022

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