IndividualActive
Amy Ita
NPI 1306164199 · Physical Medicine & Rehabilitation Physician · Salt Lake City, UT
Provider details
- NPI number
- 1306164199
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4168 (IA)
Practice location
1952 E 7000 S
Salt Lake City, UT 84121-6877
Phone: (801) 942-3311
Fax: (801) 495-5303
Mailing address
1221 S Gear Ave
West Burlington, IA 52655-1679
Registry dates
- Enumerated
- 2010-05-04
- Last updated
- 2020-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.