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NPI Code Detail

MEDICARE: AMY BOLTON

MEDICARE: AMY BOLTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist6957470-4201UT

General Provider Information

NPI Number : 1134455025
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY BOLTON
Provider Business Mailing Address
First Line : 45 E STATE ST
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2344
Country : US
Telephone Number : 385-381-0533
Fax Number :
Provider Business Practice Location Address
First Line : 45 E STATE ST
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2344
Country : US
Telephone Number : 801-942-3311
Fax Number : 801-942-5955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2009
Last Update Date : 05/19/2025

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Directions to “ AMY BOLTON ” Practice Location

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