Individual provider · Type 1 NPI

Jacob Jun Tsukamoto

Student in an Organized Health Care Education/Training Program · Layton, UT

NPI number 1083180798 Active

Practice location

934 S Main St
Layton, UT 84041-7135

Call (801) 336-1845 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X7481707 (ID)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083180798

Jacob Jun Tsukamoto's National Provider Identifier is 1083180798, issued on Oct 19, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Layton, UT. The record was last updated on May 27, 2026.