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NPI Code Detail

MEDICARE: JONAH COATS DPT

MEDICARE:   JONAH  COATS  DPT
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
1225100000XPhysical Therapist14221912-2401UT

General Provider Information

NPI Number : 1437042322
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONAH COATS DPT
Provider Business Mailing Address
First Line : 1390 S 1400 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84105-2643
Country : US
Telephone Number : 907-255-4315
Fax Number :
Provider Business Practice Location Address
First Line : 85 N MEDICAL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84112-1100
Country : US
Telephone Number : 801-587-3422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2025
Last Update Date : 03/09/2026

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Directions to “ JONAH COATS DPT” Practice Location

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