Healthcare Provider Details

I. General information

NPI: 1225932171
Provider Name (Legal Business Name): KATLYNN GRACE PHILLIPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 N MAIN ST
FINDLAY OH
45840-3670
US

IV. Provider business mailing address

257 E 200 S STE 350
SALT LAKE CITY UT
84111-2085
US

V. Phone/Fax

Practice location:
  • Phone: 740-479-5120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: