Individual
KATHRYN VAN TASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 W SOUTH TEMPLE UNIT 201, SALT LAKE CITY, UT 84101-4716
(801) 830-5129
Mailing address
45 W SOUTH TEMPLE UNIT 201, SALT LAKE CITY, UT 84101-4716
(801) 830-5129
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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