NPI 1134500044 · live from the CMS NPI Registry
Elite Ankle & Foot
Podiatrist in Mt Pleasant, UT. National Provider Identifier 1134500044, active.
NPI record
| NPI | 1134500044 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1075 S Highway 89, Mt Pleasant, UT 84647 |
| Practice phone | 435-462-3668 |
| Mailing address | Po Box 398, Mt Pleasant, UT 84647 |
| Enumerated | June 16, 2015 |
| Last updated | April 22, 2024 |
| Authorized official | Tyler Jolley, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.