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NPI Code Detail

MEDICARE: BIANCA WELLS

MEDICARE: BIANCA WELLS
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
1226000000XRecreational Therapist Assistant142711884003UT

General Provider Information

NPI Number : 1821942582
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA WELLS
Provider Business Mailing Address
First Line : 451 E BISHOP FEDERAL LN
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-2357
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 451 E BISHOP FEDERAL LN
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-2357
Country : US
Telephone Number : 801-487-7557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ BIANCA WELLS ” Practice Location

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