# SOUTH VALLEY ORTHOMED, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Valley Orthopedics & Aesthetics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205506847
- **Authorized official:** HEATHER STRONG (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (801) 566-4242

## Contact information

- **Practice address:** 1988 W 930 N STE C, PLEASANT GROVE, UT 84062-4132
- **Practice address phone:** (801) 566-4242
- **Practice address fax:** (801) 987-3493
- **Mailing address:** 1988 W 930 N STE C, PLEASANT GROVE, UT 84062-4132
- **Mailing address phone:** (801) 566-4242
- **Mailing address fax:** (801) 987-3493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/15/2021
- **Last updated:** 09/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | U000098391 | MEDICARE | UT |