Individual
RYAN FAIRHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSW
Contact information
Practice address
4459 E HURSTBOURNE DR, EAGLE MOUNTAIN, UT 84005-5319
(801) 234-9510
(801) 948-8001
Mailing address
4459 E HURSTBOURNE DR, EAGLE MOUNTAIN, UT 84005-5319
(801) 234-9510
(801) 948-8001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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