Healthcare Provider Details

I. General information

NPI: 1114880085
Provider Name (Legal Business Name): LUKE HYMAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1443 W 800 N STE 103
OREM UT
84057-2878
US

IV. Provider business mailing address

3964 S SWEET ESCAPE DR
WASHINGTON UT
84780-3150
US

V. Phone/Fax

Practice location:
  • Phone: 801-655-4950
  • Fax:
Mailing address:
  • Phone: 801-860-3287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: