Healthcare Provider Details

I. General information

NPI: 1841761095
Provider Name (Legal Business Name): CRANIAL TECHNOLOGIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 E BRICKYARD RD STE 300
SALT LAKE CITY UT
84106-2559
US

IV. Provider business mailing address

1405 W AUTO DR FL 2
TEMPE AZ
85284-1016
US

V. Phone/Fax

Practice location:
  • Phone: 844-447-5894
  • Fax: 844-447-5895
Mailing address:
  • Phone: 844-447-5894
  • Fax: 844-447-5895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: TAMMY JONES
Title or Position: NATIONAL FACILITY DIRECTOR
Credential:
Phone: 480-403-6330