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NPI 1962522078 · live from the CMS NPI Registry

Alta Therapies Lc

Clinic/Center, Multi-Specialty in Clearfield, UT. National Provider Identifier 1962522078, active.

NPI record

NPI1962522078 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Multi-Specialty 261QM1300X
Practice location1481 E 1450 S, Clearfield, UT 84015
Practice phone801-693-2303
Mailing address598 W 900 S Ste 240, Woods Cross, UT 84010
EnumeratedMarch 30, 2007
Last updatedOctober 23, 2019
Authorized officialDustin Cragun, General Manager
Other namesAlta Health Services

Taxonomies and licenses

TaxonomyCodeLicense
Physical Therapist225100000X—
Occupational Therapist225X00000X—
Speech-Language Pathologist, 235Z00000X—
Clinic/Center, Multi-Specialty primary261QM1300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.