Healthcare Provider Details

I. General information

NPI: 1548171770
Provider Name (Legal Business Name): ZHOUYOU XING SKINNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 W CENTER ST
OREM UT
84057-4637
US

IV. Provider business mailing address

2039 W AUTUMN DR
MAPLETON UT
84664-5642
US

V. Phone/Fax

Practice location:
  • Phone: 801-225-4027
  • Fax:
Mailing address:
  • Phone: 801-800-2827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: