Healthcare Provider Details

I. General information

NPI: 1992628887
Provider Name (Legal Business Name): JOSELYN ALEJANDRA COTTON JOACHIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18406 W WHITE QUEST DR
EAGLE MOUNTAIN UT
84013-9701
US

IV. Provider business mailing address

4138 W LOWER GALLERY CT
HERRIMAN UT
84096-1995
US

V. Phone/Fax

Practice location:
  • Phone: 801-335-4699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: