Individual
AMANDA HACKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PRESIDENTS CIR, SALT LAKE CITY, UT 84112-9049
(801) 585-1820
Mailing address
3536 W FENCHURCH RD, WEST JORDAN, UT 84084-3615
(801) 707-6842
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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