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Individual

PAIGE STOTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT,OTR,CHT

Contact information

Practice address
5151 S 900 E, #100, SALT LAKE CITY, UT 84117-6601
(801) 261-3321
(801) 261-5942
Mailing address
5151 S 900 E, #100, SALT LAKE CITY, UT 84117-6657
(801) 261-3321
(801) 261-5942

Taxonomy

Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
4948143-4201
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1108540001
CIGNA DMERC
UT
01
49481434202001
BLUE CROSS BLUE SHIELD
UT
01
5417
DMBA
UT
01
64-00523
UNITED HEALTHCARE
UT
01
83015
PEHP
UT
01
870388269BR1
EDUCATORS MUTUAL
UT
01
CJ9402
RAILROAD MEDICARE
UT
Enumeration date
08/03/2005
Last updated
11/23/2021
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