NPI 1295427664 · live from the CMS NPI Registry
Emma Breeze
Speech-Language Pathologist, in Draper, UT. National Provider Identifier 1295427664, active.
NPI record
| NPI | 1295427664 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 12453 S 265 W Ste B, Draper, UT 84020 |
| Practice phone | 801-443-7775 |
| Mailing address | Po Box 363, Riverton, UT 84065 |
| Enumerated | May 24, 2023 |
| Last updated | May 24, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 12929120-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.