OrganizationActive
Custom Dme
NPI 1255570099 · Anaplastologist · Bountiful, UT
Provider details
- NPI number
- 1255570099
- Entity type
- Organization
- Primary specialty
- AnaplastologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Paul Tanner, Owner(801) 997-0545
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Ocularist156FX1700X
Eye and Vision Services Providers
Practice location
1455 S 500 W Ste D
Bountiful, UT 84010-8252
Phone: (801) 997-0545
Fax: (888) 977-5399
Approximate (ZIP-level) locationGet directions
Mailing address
3474 S 100 E
Bountiful, UT 84010-6605
Other names (DBA / former)
- Other name
- Feelingwholeagain.com
Registry dates
- Enumerated
- 2009-02-18
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.