MEDICARE: JAY E COTTLE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	121211-2401	UT

General Provider Information

NPI Number	:	1134148430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY E COTTLE PT

Provider Business Mailing Address
First Line	:	PO BOX 25537
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84125-0537
Country	:	US
Telephone Number	:	435-207-4770
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 N 1000 W
Second Line	:
City	:	TREMONTON
State	:	UT
Zip	:	84337-9356
Country	:	US
Telephone Number	:	435-207-4770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	11/11/2025

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Directions to “ JAY E COTTLE PT” Practice Location

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