OrganizationActive
Summit Foot and Ankle Specialists
NPI 1366819112 · Podiatric Clinic/Center · Provo, UT
Provider details
- NPI number
- 1366819112
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Ellsworth, Owner(801) 784-1111
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1355 N University Ave
Suite 125
Provo, UT 84604-2721
Phone: (801) 784-1111
Approximate (ZIP-level) locationGet directions
Mailing address
1355 N University Ave
Provo, UT 84604-2721
Registry dates
- Enumerated
- 2015-08-27
- Last updated
- 2015-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.