Individual
KATIE ROOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1576 S 500 W STE 202, WOODS CROSS, UT 84010-7433
(801) 406-9002
Mailing address
5075 S 525 W, OGDEN, UT 84405-6555
(801) 786-9209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
UT
05
—
876000308007
—
UT
Enumeration date
07/11/2014
Last updated
03/03/2020
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