Tyler Test, SOCIAL WORKER

NPI 1710795117 · on the registry since 2024 · sole proprietor

Practice

Address: 5620 S Waterbury Way
Salt Lake City, UT 84121
Phone: (303) 514-2605
Organisation at this address: Branchout Clinics Pllc
Kmk Family Services, Inc
Functionally Integrative Therapy Llc
Inferred from a shared address, not stated in the registry.

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: 2024-12-18

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