Healthcare Provider Details

I. General information

NPI: 1679439020
Provider Name (Legal Business Name): AMY DAWN SADLER PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 N RUNNING CREEK WAY STE 150
LEHI UT
84043-5563
US

IV. Provider business mailing address

3300 N RUNNING CREEK WAY STE 150
LEHI UT
84043-5563
US

V. Phone/Fax

Practice location:
  • Phone: 385-336-5303
  • Fax:
Mailing address:
  • Phone: 385-336-5303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number14202188-2402
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: