Healthcare Provider Details

I. General information

NPI: 1538605274
Provider Name (Legal Business Name): AMY STRATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2017
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 S 1700 W APT 532
PAYSON UT
84651-5583
US

IV. Provider business mailing address

1045 S 1700 W 532
PAYSON UT
84651
US

V. Phone/Fax

Practice location:
  • Phone: 435-609-6082
  • Fax:
Mailing address:
  • Phone: 435-609-6082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number2026-PCA-F23-107023
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: