Healthcare Provider Details

I. General information

NPI: 1962100644
Provider Name (Legal Business Name): EMILY RICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4568 S HIGHLAND DR STE 380
MILLCREEK UT
84117-4213
US

IV. Provider business mailing address

4568 S HIGHLAND DR STE 380
MILLCREEK UT
84117-4213
US

V. Phone/Fax

Practice location:
  • Phone: 385-272-8906
  • Fax:
Mailing address:
  • Phone: 385-272-8906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: