Healthcare Provider Details

I. General information

NPI: 1023949831
Provider Name (Legal Business Name): KAYLEE AGUIRRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5882 S 900 E STE 103
MURRAY UT
84121-1688
US

IV. Provider business mailing address

1587 W 8740 S
WEST JORDAN UT
84088-9251
US

V. Phone/Fax

Practice location:
  • Phone: 385-462-6148
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: