Healthcare Provider Details

I. General information

NPI: 1356203970
Provider Name (Legal Business Name): AIMEE AMANDA OLSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 E 5600 S STE 110
MURRAY UT
84107-8122
US

IV. Provider business mailing address

1256 S STATE ST STE 201
OREM UT
84097-8239
US

V. Phone/Fax

Practice location:
  • Phone: 801-600-0308
  • Fax:
Mailing address:
  • Phone: 801-600-0308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: