# ELITE CARPAL TUNNEL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932848678
- **Authorized official:** TRAVIS PETERSON DO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (509) 947-7944

## Contact information

- **Practice address:** 61 W 13490 S STE 100, DRAPER, UT 84020-7299
- **Practice address phone:** (801) 997-5770
- **Practice address fax:** (385) 446-6278
- **Mailing address:** 61 W 13490 S STE 100, DRAPER, UT 84020-7299
- **Mailing address phone:** (801) 997-5770
- **Mailing address fax:** (385) 446-6278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2022
- **Last updated:** 10/05/2022