Healthcare Provider Details

I. General information

NPI: 1235801481
Provider Name (Legal Business Name): NEURO CONNEXIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

382 E 400 S STE A
SPRINGVILLE UT
84663-1992
US

IV. Provider business mailing address

382 E 400 S STE A
SPRINGVILLE UT
84663-1992
US

V. Phone/Fax

Practice location:
  • Phone: 801-997-9148
  • Fax: 801-515-0304
Mailing address:
  • Phone: 801-997-9148
  • Fax: 801-515-0304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM MARRIOTT
Title or Position: CO-FOUNDER
Credential:
Phone: 801-703-5360