Individual
CASSANDRA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 ROUND VALLEY DR STE 201, PARK CITY, UT 84060-7549
(435) 649-7680
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 649-7680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11932174-3102
UT
363L00000X
Nurse Practitioner
Primary
11932174-3102
UT
Other
Enumeration date
05/14/2024
Last updated
05/22/2025
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