Provider Demographics
NPI:1639585839
Name:FERREIRA, CARMEL (NMD, LAC)
Entity Type:Individual
Prefix:DR
First Name:CARMEL
Middle Name:
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:NMD, LAC
Other - Prefix:DR
Other - First Name:CARMEL
Other - Middle Name:
Other - Last Name:FERREIRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NMD, LAC
Mailing Address - Street 1:42 N 200 E STE 1
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-1739
Mailing Address - Country:US
Mailing Address - Phone:801-396-8850
Mailing Address - Fax:801-396-8849
Practice Address - Street 1:42 N 200 E STE 1
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003
Practice Address - Country:US
Practice Address - Phone:801-396-8850
Practice Address - Fax:801-396-8849
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT85484731201171100000X
UT85484737101175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist