Individual
AIENA LAYA ANGELES BAUTISTA GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
630 E 1400 N STE 140, LOGAN, UT 84341-2549
(435) 213-3850
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14216123-2401
UT
225100000X
Physical Therapist
Primary
19703
MA
225100000X
Physical Therapist
Primary
P20142
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P20142
STATE LICENSE
NC
Enumeration date
05/25/2016
Last updated
05/07/2026
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