Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glacier Peak Pain Care PLLC

Organization Interventional Pain Medicine Physician · NPI 1568909836

Glacier Peak Pain Care PLLC is an Interventional Pain Medicine Physician in Clinton, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1407 N 2000 W
Clinton, UT 84015-8562
Phone: (385) 333-7123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 9777824-1205 (UT)

Record details

NPI number1568909836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirsten Baca — Member · (443) 413-3130
NPI enumeratedJanuary 25, 2017
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address1407 N 2000 W, Clinton, UT 84015-8562