Healthcare Provider Details
I. General information
NPI: 1639684772
Provider Name (Legal Business Name): CPM MACHINES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2017
Last Update Date: 12/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4525 S 2300 E
SALT LAKE CITY UT
84117-4641
US
IV. Provider business mailing address
4525 S 2300 E
SALT LAKE CITY UT
84117-4641
US
V. Phone/Fax
- Phone: 801-414-6322
- Fax: 801-542-0165
- Phone: 801-414-6322
- Fax: 801-542-0165
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TRAVIS
JAY
DOWDELL
Title or Position: OWNER
Credential: DC
Phone: 801-414-6322