Healthcare Provider Details

I. General information

NPI: 1699651372
Provider Name (Legal Business Name): GWYNETH GRACE BORZONI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 E 4500 S
MILLCREEK UT
84117-4124
US

IV. Provider business mailing address

1201 E 4500 S
MILLCREEK UT
84117-4124
US

V. Phone/Fax

Practice location:
  • Phone: 801-712-4643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226000000X
TaxonomyRecreational Therapist Assistant
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: