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NPI 1871403048

NPI 1871403048 : ALISHA CRUMP : LEHI, UT

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General NPI Number Information
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    NPI Number           |    1871403048
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    Entity Type          |    Individual 
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    Provider Name        |    ALISHA CRUMP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/10/2026
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    Last Update Date     |    09/10/2026
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Provider Practice Location Address
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    Address Line         |    3000 N TRIUMPH BLVD STE 310 
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    City                 |    LEHI
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    State                |    UT
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    Zip                  |    84043-7188
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    Country              |    US
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    Telephone            |    801-766-2088
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    Fax                  |    801-766-4245
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Provider Business Mailing Address
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    Address Line         |    3000 N TRIUMPH BLVD STE 310 
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    City                 |    LEHI
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    State                |    UT
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    Zip                  |    84043-7188
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    Country              |    US
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    Telephone            |    801-766-4245
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    Fax                  |    801-766-4245
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    7390839-2402
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    License Number State |    UT
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