Healthcare Provider Details

I. General information

NPI: 1477464352
Provider Name (Legal Business Name): MEGAN AUDREY ALVES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3249 N 1200 W
LEHI UT
84043-9772
US

IV. Provider business mailing address

3249 N 1200 W
LEHI UT
84043-9772
US

V. Phone/Fax

Practice location:
  • Phone: 801-753-4370
  • Fax:
Mailing address:
  • Phone: 801-753-4370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89542
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: