Healthcare Provider Details

I. General information

NPI: 1326097486
Provider Name (Legal Business Name): HALLIE J ROBBINS D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6771 S 900 E
MIDVALE UT
84047-1436
US

IV. Provider business mailing address

49 E 96TH ST
NEW YORK NY
10128-0782
US

V. Phone/Fax

Practice location:
  • Phone: 801-696-5257
  • Fax: 801-683-1589
Mailing address:
  • Phone: 801-696-5257
  • Fax: 801-683-1859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number98-352253-1204
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number300888
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number300888
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number98-352253-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: