Thackeray, Kaitlyn Jo

Thackeray, Kaitlyn Jo is an sole proprietor health care provider with primary practice located at 11260 S River Heights Dr , South Jordan UT 84095-5119. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Thackeray, Kaitlyn Jo can be contacted via phone (801) 298-2000.

Contact Information

Primary practice address
11260 S River Heights Dr South Jordan UT 84095-5119
Phone: (801) 298-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 12923253-3502 Utah

Profile Details

NPI number 1316673817
LBN Legal business name Thackeray, Kaitlyn Jo
Credentials CSW, CPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2022
Last updated Jul 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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