Healthcare Provider Details

I. General information

NPI: 1275350464
Provider Name (Legal Business Name): ACUITY WOUND CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2024
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 N MAIN ST UNIT 1B
SPANISH FORK UT
84660-1016
US

IV. Provider business mailing address

1460 N MAIN ST UNIT 1B
SPANISH FORK UT
84660-1016
US

V. Phone/Fax

Practice location:
  • Phone: 385-518-0403
  • Fax: 385-518-0466
Mailing address:
  • Phone: 385-518-0403
  • Fax: 385-518-0466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AUSTIN ATKINSON
Title or Position: PRESIDENT, CEO
Credential:
Phone: 801-318-8930