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

Sol Johanna Jaque, PTA

Individual provider Physical Therapy Assistant · NPI 1750153615

Sol Johanna Jaque, PTA is a Physical Therapy Assistant in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

191 Swanson Ave Ste 102
Lake Havasu City, AZ 86403-6699
Phone: (928) 855-7880
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-014722 (AZ)

Record details

NPI number1750153615
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 24, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Other providers in Lake Havasu City