DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THE PERFORMING, ENDURANCE, AND ARTISTIC ATHLETE CLINIC, PLLC

MEDICARE: THE PERFORMING, ENDURANCE, AND ARTISTIC ATHLETE CLINIC, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TB0200XCognitive & Behavioral Psychologist
2111N00000XChiropractor
3133VN1501XSports Dietetics Nutrition Registered Dietitian
4171100000XAcupuncturist
52251S0007XSports Physical Therapist
62255A2300XAthletic Trainer
7225600000XDance Therapist
8225700000XMassage Therapist
9363AM0700XMedical Physician Assistant
10390200000XStudent in an Organized Health Care Education/Training Program
11207QS0010XSports Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1043919889
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PERFORMING, ENDURANCE, AND ARTISTIC ATHLETE CLINIC, PLLC
Provider Business Mailing Address
First Line : 2870 E 3300 S
Second Line :
City : MILLCREEK
State : UT
Zip : 84109-2821
Country : US
Telephone Number : 385-500-3300
Fax Number :
Provider Business Practice Location Address
First Line : 2870 E 3300 S
Second Line :
City : MILLCREEK
State : UT
Zip : 84109-2821
Country : US
Telephone Number : 385-500-3300
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. SARA ELIZABETH WALKER
Credential : MD
Telephone Number : 810-772-8179
Provider Enumeration Date : 03/01/2023
Last Update Date : 03/01/2023

Similar Medicare Providers

1093051963 — MR. PATRICK PRICE ADAMS LCSW SUDC
Practice Location Address:
2870 E 3300 S
MILLCREEK, UT
84109-2821
Practice Phone: 801-500-3300
Practice Fax:
1871090555 — SARA ELIZABETH WALKER MD
Practice Location Address:
2870 E 3300 S
SALT LAKE CITY, UT
84109-2821
Practice Phone: 385-500-3300
Practice Fax: 385-242-7975
1568084739 — UTAH ZION HEALING
Practice Location Address:
2870 E 3300 S
SALT LAKE CITY, UT
84109-2821
Practice Phone: 801-455-1241
Practice Fax:
1033722087 — OLYMPUS HEALING CLINIC
Practice Location Address:
2870 E 3300 S
SALT LAKE CITY, UT
84109-2821
Practice Phone: 801-432-8626
Practice Fax:
1174136113 — AMIR HASKIC
Practice Location Address:
2870 E 3300 S
SALT LAKE CITY, UT
84109-2821
Practice Phone: 801-432-8626
Practice Fax:
1184210874 — ZACHARY SCOTT SUDC
Practice Location Address:
2870 E 3300 S
SALT LAKE CITY, UT
84109-2821
Practice Phone: 385-500-3300
Practice Fax:

Directions to “THE PERFORMING, ENDURANCE, AND ARTISTIC ATHLETE CLINIC, PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.