Individual
AMY STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3624 E BRIGHTON POINT DR, SALT LAKE CITY, UT 84121-5513
(801) 831-8463
Mailing address
5957 GENOA LN, STANSBURY PARK, UT 84074-8950
(801) 696-8082
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
6677495-4003
UT
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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