Healthcare Provider Details

I. General information

NPI: 1770401564
Provider Name (Legal Business Name): MCKAY FAITH MEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N 400 E
NEPHI UT
84648-2202
US

IV. Provider business mailing address

556 S 470 E APT 2
SPRINGVILLE UT
84663-2017
US

V. Phone/Fax

Practice location:
  • Phone: 143-562-3172
  • Fax:
Mailing address:
  • Phone: 385-268-1768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number142941864003
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: