Individual
HOLLY CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5171 S COTTONWOOD ST STE 950, MURRAY, UT 84107
(801) 507-9555
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10495455-1206
UT
363AM0700X
Medical Physician Assistant
10495455-1206
UT
Other
Enumeration date
09/15/2017
Last updated
02/11/2026
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