Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSEY MARIE WISS
Active Sole ProprietorKELSEY MARIE WISS is a Substance Use Disorder Rehabilitation Facility healthcare provider located in TAYLORSVILLE, Utah. NPI 1366946261 is currently active in the NPPES registry. Verify at CMS.
Substance Use Disorder Rehabilitation Facility · TAYLORSVILLE, UT
Registration Details
- NPI Number
- 1366946261
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2018 (8.4268565296606 yrs)
- Last Updated
- Mar 23, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
3809 W 6200 STAYLORSVILLE, UT, 841293725Browse UT providers · Browse ZIP 84129
- Phone
- 8019634317
- Primary Specialty
-
Substance Use Disorder Rehabilitation Facility
261QR0405X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.