Individual
AMY E HUMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(888) 949-4864
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-6490
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F25-119071
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023832334
—
UT
05
—
1538750989
—
UT
Enumeration date
01/28/2021
Last updated
06/06/2025
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