Individual provider · Type 1 NPI

Amelia L. Blotter, PA-C

Medical Physician Assistant · Pleasant Grove, UT

NPI number 1508614694 Active

Practice location

1912 W 930 N
Pleasant Grove, UT 84062-4104

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X14250372-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1508614694

Amelia L. Blotter, PA-C's National Provider Identifier is 1508614694, issued on May 13, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pleasant Grove, UT. The record was last updated on Oct 29, 2025.