NPI 1245757202

Autumn Chyanne Boydston

Practitioner Other Specialist/Technologist Salt Lake City, UT

Practice location

Address: 4444 S 700 E STE 203, Salt Lake City, UT 84107-3075
Phone: (801) 268-4887

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Utah →

Registry record

NPI: 1245757202
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2017
Record last updated: 29 Aug 2017

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.