THE PERFORMING ENDURANCE AND ARTISTIC ATHLETE CLINIC PLLC NPI 1043919889

NPI Information

  • NPI: 1043919889
  • Provider Name: THE PERFORMING, ENDURANCE, AND ARTISTIC ATHLETE CLINIC, PLLC
  • Classification: Family Medicine - 207QS0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 2870 E 3300 S
    MILLCREEK, UT
    ZIP 84109
  • Phone: (385) 500-3300

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NPI Details

THE PERFORMING, ENDURANCE, AND ARTISTIC ATHLETE CLINIC, PLLC is a sports medicine family medicine in Millcreek, UT. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. THE PERFORMING, ENDURANCE, AND ARTISTIC ATHLETE CLINIC, PLLC NPI is 1043919889. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2870 E 3300 S
MILLCREEK, UT
ZIP 84109-821
Phone: (385) 500-3300

The provider's authorized official is Sara Elizabeth Walker .
The authorized official title is Owner/physician and has the following contact phone number (810) 772-8179.

The enumeration date for this NPI number is 3/1/2023 and was last updated on 3/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralNo
2111N00000XChiropractorNo
3133VN1501XDietitian, RegisteredNutrition, Sports DieteticsNo
4171100000XAcupuncturistNo
52251S0007XPhysical TherapistSportsNo
62255A2300XSpecialist/TechnologistAthletic TrainerNo
7225600000XDance TherapistNo
8225700000XMassage TherapistNo
9363AM0700XPhysician AssistantMedicalNo
10390200000XStudent in an Organized Health Care Education/Training ProgramNo
11207QS0010XFamily MedicineSports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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