OrganizationActive
University of Utah Pediatric Behavioral Health Services
NPI 1467320671 · Sports Medicine (Psychiatry & Neurology) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1467320671
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jeannine Rushton, Director
Practice location
590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 587-7109
Mailing address
Po Box 841450
Los Angeles, CA 90084-1450
Registry dates
- Enumerated
- 2025-10-28
- Last updated
- 2025-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.