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NPI Code Detail

MEDICARE: ACCESS STABILITY LLC

MEDICARE: ACCESS STABILITY LLC
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
1225700000XMassage Therapist
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1164214128
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCESS STABILITY LLC
Provider Business Mailing Address
First Line : PO BOX 518
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-0518
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 57 W 9000 S # 104
Second Line :
City : SANDY
State : UT
Zip : 84070-2008
Country : US
Telephone Number : 203-246-2733
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SHEVONN JOHNSON
Credential :
Telephone Number : 385-722-4431
Provider Enumeration Date : 05/19/2025
Last Update Date : 01/20/2026

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Directions to “ACCESS STABILITY LLC ” Practice Location

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