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Celisa Packer
NPI 1083089643 · on the registry since 2015
Practice
- Address
- 2020 E Lake St
Salt Lake City, UT 84105 - Phone
- (801) 487-7778
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041S0200X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah