Healthcare Provider Details

I. General information

NPI: 1679949432
Provider Name (Legal Business Name): WHITNEY LOUDER HUNTER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

286 E 12200 S
DRAPER UT
84020-7817
US

IV. Provider business mailing address

286 E 12200 S
DRAPER UT
84020-7817
US

V. Phone/Fax

Practice location:
  • Phone: 801-823-4175
  • Fax:
Mailing address:
  • Phone: 801-823-4175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number9495248-4201
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9495248-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: