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Organization

THE PERFORMING, ENDURANCE, AND ARTISTIC ATHLETE CLINIC, PLLC

Active
Find providers by NPI
Organization

THE PERFORMING, ENDURANCE, AND ARTISTIC ATHLETE CLINIC, PLLC

Active
Other names
The PEAAC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SARA ELIZABETH WALKER MD (OWNER/PHYSICIAN)
(810) 772-8179
Entity
Organization

Contact information

Practice address
2870 E 3300 S, MILLCREEK, UT 84109-2821
(385) 500-3300
Mailing address
2870 E 3300 S, MILLCREEK, UT 84109-2821
(385) 500-3300

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
111N00000X
Chiropractor
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
171100000X
Acupuncturist
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
225600000X
Dance Therapist
—
—
225700000X
Massage Therapist
—
—
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—

Other

Enumeration date
03/01/2023
Last updated
03/01/2023
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