Healthcare Provider Details

I. General information

NPI: 1861316606
Provider Name (Legal Business Name): LINDSEY ALEXIS DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

5459 W 7800 S STE 120
WEST JORDAN UT
84081-6091
US

IV. Provider business mailing address

3094 W UINTAH PINES CIR
SOUTH JORDAN UT
84095-8462
US

V. Phone/Fax

Practice location:
  • Phone: 801-878-9668
  • Fax:
Mailing address:
  • Phone: 801-230-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: