Organization
CUSTOM SPECIALTY REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CHRISTIAN PAULSEN (OWNER)
(801) 781-0084
Entity
Organization
Contact information
Practice address
5820 W 3800 S, HOOPER, UT 84315-9803
(801) 781-0084
Mailing address
5820 W 3800 S, HOOPER, UT 84315-9803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up