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Organization
UTAH IDEA BUILDER LLC
Active
Organization
UTAH IDEA BUILDER LLC
Active
Other names
Extreme Motus
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN GRASSLEY (CMO)
(801) 683-9191
Entity
Organization
Contact information
Practice address
78 E 100 S, PAYSON, UT 84651-2262
(801) 683-9191
Mailing address
1819 N MAIN ST UNIT 9, SPANISH FORK, UT 84660-5538
(801) 683-9191
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/31/2022
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