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Zackie Kanishka
NPI 1710549605 · on the registry since 2019
Practice
- Address
- 255 S Orem Blvd
Orem, UT 84058 - Phone
- (385) 368-5000
- Organisation at this address
- Wasatch Behavioral Health Special Service District
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-30
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