Most Relevant Information
Provider Data
| NPI Number: | 1003367467 |
| Provider Name: | ASHLEY BASSETT |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/20/2016 |
| Last Updated: | 10/20/2016 |
Provider Practice Location
344 E 100 S
STE 301
SALT LAKE CITY
UT
841111700
Practice Location Phone/Fax
| Phone: | 8013224257 |
| Fax: |
Provider Mailing Location
918 S 500 E
APT 1
SALT LAKE CITY
UT
841051141
Provider Mailing Phone/Fax
| Phone: | 8456998777 |
| Fax: |