| NPI | 1689788762 |
|---|---|
| Former Legal Business Name | UTAH PAIN AND REHAB INC |
| Entity Type | Organization |
| Authorized Contact | SHERY MARCHESE Administrator 801-337-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 347196-4405) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-03-25 |