1891093167 NPI number — HAND & ORTHOPEDIC REHABILITATION SPECIALISTS

Table of content: DR. KATHRYN D. CRANFORD ND, NHCM (NPI 1780881425)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891093167 NPI number — HAND & ORTHOPEDIC REHABILITATION SPECIALISTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAND & ORTHOPEDIC REHABILITATION SPECIALISTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891093167
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5151 S 900 E
Provider Second Line Business Mailing Address:
100
Provider Business Mailing Address City Name:
SALT LAKE CITY
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84117-6657
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-261-3321
Provider Business Mailing Address Fax Number:
801-261-5942

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11762 S STATE ST
Provider Second Line Business Practice Location Address:
#120
Provider Business Practice Location Address City Name:
DRAPER
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84020-7155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-501-8359
Provider Business Practice Location Address Fax Number:
801-501-8360
Provider Enumeration Date:
03/10/2011

Additional Information

Authorized Official

Authorized Official Last Name:
BRADY
Authorized Official First Name:
MARGO
Authorized Official Middle Name:
JONES
Authorized Official Title or Position:
OWNER/THERAPIST
Authorized Official Telephone Number:
801-501-8359

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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