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Contact Information

MOTERUM SPECIALTY SERVICES LLC
2757 S 300 W
SOUTH SALT LAKE, UT84115-2933
 Phone: 678-592-3447
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2081P0301X 25 Physician/Physical Medicine and Rehabilitation
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MOTERUM SPECIALTY SERVICES LLC

NPI # 1467022863
LBN Legal business name MOTERUM SPECIALTY SERVICES LLC
Authorized official DAVID HUIZENGA - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2021
Last updated 07/06/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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