SearchUtah101YM0800X

Rebecca Pankow

NPI 1942193453 · on the registry since 2025 · sole proprietor

Practice

Address
655 E 4500 S
Salt Lake City, UT 84107
Phone
(801) 326-4385
Organisation at this address
Children'S Service Society
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-02

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