Healthcare Provider Details

I. General information

NPI: 1033023833
Provider Name (Legal Business Name): EMERY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 E 600 N
CASTLE DALE UT
84513-4300
US

IV. Provider business mailing address

120 N MAIN ST
HUNTINGTON UT
84528-5501
US

V. Phone/Fax

Practice location:
  • Phone: 434-687-9846
  • Fax:
Mailing address:
  • Phone: 434-687-9846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JR JONES
Title or Position: DISTRICT ADMINISTRATOR
Credential: ADMIN MASTERS
Phone: 434-687-9846