Individual
KATIE MARTINDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDC
Contact information
Practice address
1042 E FORT UNION BLVD # 264, MIDVALE, UT 84047-1800
(385) 388-3006
Mailing address
1042 E FORT UNION BLVD # 264, MIDVALE, UT 84047-1800
(385) 388-3006
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
111111111
UT
Other
Enumeration date
07/03/2024
Last updated
02/26/2026
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