Healthcare Provider Details

I. General information

NPI: 1215322722
Provider Name (Legal Business Name): MENDABILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 04/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 S 500 E
AMERICAN FORK UT
84003-3357
US

IV. Provider business mailing address

915 S 500 E
AMERICAN FORK UT
84003-3357
US

V. Phone/Fax

Practice location:
  • Phone: 801-358-4885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. RICH BOHNE
Title or Position: CEO
Credential:
Phone: 801-692-6830