Healthcare Provider Details

I. General information

NPI: 1023741832
Provider Name (Legal Business Name): CLARISSA STORY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

773 W 12600 S #301
RIVERTON UT
84065
US

IV. Provider business mailing address

8258 S 180 E
SANDY UT
84070-2908
US

V. Phone/Fax

Practice location:
  • Phone: 801-285-4000
  • Fax:
Mailing address:
  • Phone: 801-698-9796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number12861917-4101
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number12861917-4101
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: