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Organization
SUNRISE SPEECH THERAPY
Active
Organization
SUNRISE SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KJIRSTEN KEETCH SLP (OWNER)
(801) 980-1510
Entity
Organization
Contact information
Practice address
4095 E PONY EXPRESS PKWY STE 12, EAGLE MOUNTAIN, UT 84005-5531
(801) 980-1510
Mailing address
7213 N SILVER CREEK WAY, EAGLE MOUNTAIN, UT 84005-5191
(520) 665-8023
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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