Organization
UTAH PAIN & REHAB LLC
Active
Other names
Utah Pain and Rehab INC
Organization subpart
No
Provider details
NPI number
Authorized official
SHERY MARCHESE (ADMINISTRATOR)
(801) 337-4000
Entity
Organization
Contact information
Practice address
1276 WALL AVE STE 1, OGDEN, UT 84404-5673
(801) 337-4000
(801) 337-4002
Mailing address
1276 WALL AVE STE 1, OGDEN, UT 84404-5673
(801) 337-4000
(801) 337-4002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363L00000X
Nurse Practitioner
Primary
347196-4405
UT
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
08/18/2006
Last updated
03/25/2025
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