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

Timber Ridge Holdings LLC

Organization Clinical Neurophysiology Physician · NPI 1508098906

Timber Ridge Holdings LLC is a Clinical Neurophysiology Physician in Washington Terrace, Utah. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

448 E 5350 S Ste B
Washington Terrace, UT 84405-5415
Phone: (801) 540-4564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X

Record details

NPI number1508098906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Pennocks — Medical Director · (801) 698-1160
NPI enumeratedAugust 18, 2009
Last updated in NPPESAugust 18, 2009
Mailing address448 E 5350 S Ste B, Washington Terrace, UT 84405-5415