IndividualActive
Kelsey Wiss
NPI 1366946261 · Substance Use Disorder Rehabilitation Clinic/Center · Taylorsville, UT
Provider details
- NPI number
- 1366946261
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3809 W 6200 S
Taylorsville, UT 84129-3725
Phone: (801) 963-4317
Approximate (ZIP-level) locationGet directions
Mailing address
4460 S Highland Dr
Salt Lake City, UT 84124-3543
Registry dates
- Enumerated
- 2018-03-23
- Last updated
- 2018-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.