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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