Provider Type Icon

WASATCH SPORTS SPINE & PAIN TREATMENT CENTER PLLC NPI 1073959714


NPI Information

NPI: 1073959714
Provider Name: WASATCH SPORTS, SPINE & PAIN TREATMENT CENTER PLLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
680 E MAIN ST
202
LEHI, UT
ZIP 84043
Phone: (801) 768-2755
Get Directions

WASATCH SPORTS, SPINE & PAIN TREATMENT CENTER PLLC is an interventional pain medicine pain medicine in Lehi, UT. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. WASATCH SPORTS, SPINE & PAIN TREATMENT CENTER PLLC NPI is 1073959714. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

680 E MAIN ST
202
LEHI, UT
ZIP 84043-241
Phone: (801) 768-2755
Fax: (801) 768-2658

The provider's authorized official is Spencer Heaton .
The authorized official title is President and has the following contact phone number (801) 768-2755.

The enumeration date for this NPI number is 5/21/2013 and was last updated on 5/21/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.