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Contact Information

ALEXIS IZATT
111 E 5600 S STE 200
SALT LAKE CITY, UT84107-8158
 Phone: 385-346-0031
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Art Therapist

221700000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for ALEXIS IZATT · (Female)

NPI # 1396544763
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2025
Last updated 10/13/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • License # 25-542
  • UT License # 14240290-6009
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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