MEDICARE: LINDSEY DAWN WEBB

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
1	225800000X	Recreation Therapist	14219573-4003	UT

General Provider Information

NPI Number	:	1174315956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY DAWN WEBB

Provider Business Mailing Address
First Line	:	2769 S 8560 W
Second Line	:
City	:	MAGNA
State	:	UT
Zip	:	84044-1248
Country	:	US
Telephone Number	:	801-462-5359
Fax Number	:

Provider Business Practice Location Address
First Line	:	4090 W PIONEER PKWY
Second Line	:
City	:	WEST VALLEY
State	:	UT
Zip	:	84120-2060
Country	:	US
Telephone Number	:	801-397-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	05/19/2025

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