Provider Demographics
NPI:1629682117
Name:FARR, APRIL LYNN (LMT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNN
Last Name:FARR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 N WASHINGTON BLVD LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-2243
Mailing Address - Country:US
Mailing Address - Phone:801-392-1767
Mailing Address - Fax:
Practice Address - Street 1:2602 N WASHINGTON BLVD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-2243
Practice Address - Country:US
Practice Address - Phone:801-392-1767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4966151-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist