Aric Leon Ketcham, P.T.A.

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Practice address

5121 Cottonwood St
Murray, UT 84107-5701

Phone

(801) 570-2000

NPI assigned

Nov 23, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1922300078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 S 5725 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841282633",
            "telephone_number": "801-831-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 COTTONWOOD ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075701",
            "telephone_number": "801-570-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHAM",
        "first_name": "ARIC",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyrum John Kerbs, CSFA
• Michaela Diane Sims Kerby
• Michael Kershaw, DC
• Amy Kershisnik, CSW
• Ketamine for Depression Salt Lake City LLC
• Alicen Kettenring
• Morgan Amy Ketterling, DO
• Taylor Kevern
• Dennis M Keyes, MSN, APRN, FNP-C
• Christine R. Keyser, CMHC

• Critical Access Hospital in Murray, UT
• Providers in Murray, UT by specialty
• Critical Access Hospital in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.