Most Relevant Information
Provider Data
| NPI Number: | 1003590548 |
| Provider Name: | CAILEY MORTENSEN AUD |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | 11322696-4101 |
Most Important Dates
| Enumeration Date: | 06/14/2023 |
| Last Updated: | 10/07/2023 |
Provider Practice Location
417 S WAKARA WAY STE 1112
SALT LAKE CITY
UT
841081448
Practice Location Phone/Fax
| Phone: | 8015813506 |
| Fax: |
Provider Mailing Location
417 S WAKARA WAY STE 1112
SALT LAKE CITY
UT
841081448
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |