Healthcare Provider Details

I. General information

NPI: 1396450565
Provider Name (Legal Business Name): MRS. ASHLEY NICOLE SAILER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 W SERGEANT COURT DR STE 204
SARATOGA SPRINGS UT
84045-5809
US

IV. Provider business mailing address

7767 N WILLOW OAK WAY
EAGLE MOUNTAIN UT
84005-6311
US

V. Phone/Fax

Practice location:
  • Phone: 801-987-6333
  • Fax:
Mailing address:
  • Phone: 636-375-1757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number13538700-4201
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: