OrganizationActive
Timber Ridge Holdings LLC
NPI 1508098906 · Clinical Neurophysiology Physician · Washington Terrace, UT
Provider details
- NPI number
- 1508098906
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Brian Pennocks, Medical Director
Practice location
448 E 5350 S Ste B
Washington Terrace, UT 84405-5415
Phone: (801) 540-4564
Mailing address
448 E 5350 S Ste B
Washington Terrace, UT 84405-5415
Registry dates
- Enumerated
- 2009-08-18
- Last updated
- 2009-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.