NPI 1306981063

Ryan Hacking, OTRL

Practitioner Contractor Lehi, UT

Practice location

Address: 2314 Peppercorn Rd, Lehi, UT 84043-4772
Phone: (801) 660-7613
Fax: (801) 407-6577

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 4971361-4201 (UT)

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Registry record

NPI: 1306981063
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2007
Record last updated: 8 Jul 2007

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.