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Contact Information

SAMANTHA PETERSON
940 N MAIN ST
NEPHI, UT84648-1004
 Phone: 435-623-1456
 Fax: 435-623-1127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Recreational Therapist Assistant

226000000X
Indicates primary specialty

NPI Profile & details for SAMANTHA PETERSON · (Female)

NPI Number 1609746023
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2025
Last updated 05/20/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers Not Available
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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