IndividualActive
Sara Beaudry, MSS, ATC, LAT
NPI 1003154667 · Contractor · Salt Lake City, UT
Provider details
- NPI number
- 1003154667
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- MSS, ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- License
- 6323994-4810 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
1840 S 1300 E
Salt Lake City, UT 84105-3617
Phone: (801) 832-2369
Approximate (ZIP-level) locationGet directions
Mailing address
3070 S 900 E
Salt Lake City, UT 84106-2163
Registry dates
- Enumerated
- 2013-01-16
- Last updated
- 2013-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.