Provider Demographics
NPI:1629386420
Name:BUILD 4 MOBILITY, INC.
Entity Type:Organization
Organization Name:BUILD 4 MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DUCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-990-5056
Mailing Address - Street 1:2975 EXECUTIVE PKWY
Mailing Address - Street 2:SUITE 141
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-9642
Mailing Address - Country:US
Mailing Address - Phone:801-990-5056
Mailing Address - Fax:801-642-4340
Practice Address - Street 1:2975 EXECUTIVE PKWY
Practice Address - Street 2:SUITE 141
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-9642
Practice Address - Country:US
Practice Address - Phone:801-990-5056
Practice Address - Fax:801-642-4340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies