Individual
AMY C. KRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3845 W 4700 S, PRIMARY CHILDREN'S REHAB TAYLORSVILLE, TAYLORSVILLE, UT 84118-3454
(801) 840-4360
Mailing address
881 MAPLE VIEW DR, APT. # 10, SALT LAKE CITY, UT 84106-1922
(801) 712-1498
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6729509-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107065267101
SELECT HEALTH PROVIDER
UT
Enumeration date
11/03/2010
Last updated
11/03/2010
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