NPI 1659748952 · live from the CMS NPI Registry
Canyon Foot And Ankle LLC
Podiatrist, Foot & Ankle Surgery in Spanish Fork, UT. National Provider Identifier 1659748952, active.
NPI record
| NPI | 1659748952 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 607 Kirby Ln Ste D, Spanish Fork, UT 84660 |
| Practice phone | 801-609-4743 |
| Mailing address | 83 E 1200 N, Mapleton, UT 84664 |
| Enumerated | August 22, 2015 |
| Last updated | January 2, 2025 |
| Authorized official | Levi Berry, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 93570600501 (UT) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 93570600501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.