Healthcare Provider Details

I. General information

NPI: 1740184209
Provider Name (Legal Business Name): SEVIER VALLEY HYPERBARICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N MAIN ST
RICHFIELD UT
84701-2157
US

IV. Provider business mailing address

PO BOX 337
ANNABELLA UT
84711-0337
US

V. Phone/Fax

Practice location:
  • Phone: 435-287-4046
  • Fax:
Mailing address:
  • Phone: 435-287-4046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MCKENZIE OLCOTT
Title or Position: OWNER
Credential: RN
Phone: 435-979-7615