Healthcare Provider Details

I. General information

NPI: 1831003573
Provider Name (Legal Business Name): LINDAY K MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3706 W 9000 S
WEST JORDAN UT
84088-8813
US

IV. Provider business mailing address

3706 W 9000 S
WEST JORDAN UT
84088-8813
US

V. Phone/Fax

Practice location:
  • Phone: 801-280-2273
  • Fax:
Mailing address:
  • Phone: 801-280-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number14310517-4003
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: