NPI 1770961955

Proactive Pain Center

Organisation Preferred Provider Organization Sandy, UT

Practice location

Address: 10965 S State St, Sandy, UT 84070-4270
Phone: (385) 414-6267

Authorised official

Name: Jodie Cunningham
Title: Owner
Phone: (385) 414-6267

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Utah →

Point of Service

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Utah →

Registry record

NPI: 1770961955
Entity type: Organization
NPI issued: 8 May 2015
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.