OrganizationActive
Adolescent Escort Service
NPI 1851711477 · Private Vehicle · Washington, UT
Provider details
- NPI number
- 1851711477
- Entity type
- Organization
- Primary specialty
- Private VehicleTransportation Services
- Organization subpart
- No
- Authorized official
- Ian Gerritsen, Owner(435) 701-6984
- License
- 1796 (UT)
Specialties & taxonomies
Transportation Services
Practice location
1865 S Cantle Cir
Washington, UT 84780-2121
Phone: (435) 701-6984
Approximate (ZIP-level) locationGet directions
Mailing address
1865 S Cantle Cir
Washington, UT 84780-2121
Registry dates
- Enumerated
- 2014-04-22
- Last updated
- 2014-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.