IndividualActive
Kyle Peterson
NPI 1780210559 · Social Worker · Magna, UT
Provider details
- NPI number
- 1780210559
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 11358625-3502 (UT)
Mailing address
8265 W 2700 S
Magna, UT 84044-1323
Registry dates
- Enumerated
- 2020-03-12
- Last updated
- 2020-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.