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Search › Utah › 1041C0700X

Tanner Moffat

NPI 1205672227 · on the registry since 2024

Practice

Address
3210 N Canyon Rd Ste 204
Provo, UT 84604
Phone
(385) 204-6273
Organisation at this address
The Body Hackers
Banyan Counseling
Shiloh Mental Health Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-04

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