NPI Code Details Logo

NPI 1679949432

NPI 1679949432 : WHITNEY LOUDER HUNTER PA-C : DRAPER, UT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679949432
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    WHITNEY LOUDER HUNTER PA-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/17/2015
-----------------------------------------------------
    Last Update Date     |    05/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    286 E 12200 S 
-----------------------------------------------------
    City                 |    DRAPER
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84020-7817
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    801-823-4175
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    286 E 12200 S 
-----------------------------------------------------
    City                 |    DRAPER
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84020-7817
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    801-823-4175
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225XN1300X
-----------------------------------------------------
    Taxonomy Name        |    Neurorehabilitation Occupational Therapist
-----------------------------------------------------
    License Number       |    9495248-4201
-----------------------------------------------------
    License Number State |    UT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    9495248-1206
-----------------------------------------------------
    License Number State |    UT
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.