Individual provider · Type 1 NPI
Tyson Harris
Student in an Organized Health Care Education/Training Program · South Salt Lake, UT
NPI number
1285033464
Active
Practice location
2500 S State St
South Salt Lake, UT 84115-3164
Mailing address
5965 S 900 E
Murray, UT 84121-1720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker | 1041S0200X | 9858818-3501 (UT) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1285033464
Tyson Harris's National Provider Identifier is 1285033464, issued on Aug 14, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Salt Lake, UT. The record was last updated on May 24, 2022.