Healthcare Provider Details

I. General information

NPI: 1134735400
Provider Name (Legal Business Name): MCKAYLA C BAADSGAARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1187 W 900 S
SPANISH FORK UT
84660-4063
US

IV. Provider business mailing address

1215 W 900 S
SPANISH FORK UT
84660-9270
US

V. Phone/Fax

Practice location:
  • Phone: 801-592-0006
  • Fax:
Mailing address:
  • Phone: 801-592-0006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14290627-4104
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: