Mickey Adams
Individual provider Active NPI Other Technician · Layton, UT
NPI 1861725152 · NPPES record last updated Sep 17, 2009
Key facts
- NPI
- 1861725152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 934 S Main St
Layton, UT 84041-7135 - Phone
- (801) 544-0585
- NPI assigned
- Sep 17, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
934 S Main St
Layton, UT 84041-7135
Mailing address
934 S Main St
Layton, UT 84041-7135
Phone (801) 544-0585
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.