NPI 1003154667

Sara Beaudry, MSSATCLAT

Practitioner Contractor Salt Lake City, UT

Practice location

Address: 1840 S 1300 E, Salt Lake City, UT 84105-3617
Phone: (801) 832-2369
Mailing address: 3070 S 900 E, Salt Lake City, UT 84106-2163

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 6323994-4810 (UT)

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Registry record

NPI: 1003154667
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2013
Record last updated: 16 Jan 2013

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.