NPI 1194025213 · live from the CMS NPI Registry
Michele Holley Carr, rd, cd,dpm
Podiatrist in Draper, UT. National Provider Identifier 1194025213, active.
NPI record
| NPI | 1194025213 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 664 Dunning Ct, Draper, UT 84020 |
| Practice phone | 801-495-0736 |
| Enumerated | October 22, 2010 |
| Last updated | October 22, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 5765339-4901 (UT) |
| Podiatrist primary | 213E00000X | 5765339-0501 (UT) |
| Podiatrist | 213E00000X | e4105 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.