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

Salt Lake Foot and Ankle PLLC

Organization Podiatrist · NPI 1063807485

Salt Lake Foot and Ankle PLLC is a Podiatrist in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

315 W Reed Ave Unit 1
Salt Lake City, UT 84103-1492
Phone: (801) 419-6206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 345724-0501 (UT)

Record details

NPI number1063807485
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bijan Andrade — Manager · (801) 419-6206
NPI enumeratedApril 2, 2015
Last updated in NPPESApril 2, 2015
Mailing address315 W Reed Ave, Unit 1, Salt Lake City, UT 84103-1492

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