Individual
THERESA GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5323 S WOODROW STREET, SUITE 200, MURRAY, UT 84107-5841
(801) 747-1020
(801) 747-1023
Mailing address
1134 E 3300 S APT 313, MILLCREEK, UT 84106-4353
(719) 205-2055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5140165-1206
UT
363AM0700X
Medical Physician Assistant
Primary
5140165-1206
UT
Other
Enumeration date
09/26/2007
Last updated
07/16/2026
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