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ACTIJOINT LLC NPI 1376810176


NPI Information

NPI: 1376810176
Provider Name: ACTIJOINT, LLC

Doing Business As: THE ACTIVE JOINT INSTITUTE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
11762 S STATE ST
SUITE 110
DRAPER, UT
ZIP 84020
Phone: (801) 495-3539
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ACTIJOINT, LLC is a general practice in Draper, UT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ACTIJOINT, LLC NPI is 1376810176. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Active Joint Institute.

The provider's business location address is:

11762 S STATE ST
SUITE 110
DRAPER, UT
ZIP 84020-155
Phone: (801) 495-3539
Fax: (801) 996-8785

The provider's authorized official is Ryan K Riggs .
The authorized official title is Owner and has the following contact phone number (801) 651-4876.

The enumeration date for this NPI number is 11/22/2011 and was last updated on 2/21/2017.


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
1208D00000XGeneral Practice6453925-1205UTAHYes
2335E00000XProsthetic/Orthotic SupplierNo

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: 4/28/2024

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