IndividualActive
Alexandra Thomas
NPI 1366726895 · Substance Abuse Rehabilitation Facility · Salt Lake City, UT
Provider details
- NPI number
- 1366726895
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
607 E 200 S
Salt Lake City, UT 84102-2110
Phone: (801) 322-4257
Approximate (ZIP-level) locationGet directions
Mailing address
1860 Mojave Dr
Salt Lake City, UT 84116-1419
Registry dates
- Enumerated
- 2011-10-03
- Last updated
- 2011-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.