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

Wasatch Back Venture Trail

Organization Social Worker · NPI 1407466089

Wasatch Back Venture Trail is a Social Worker in Provo, Utah. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

3585 N University Ave Ste 250
Provo, UT 84604-6622
Phone: (435) 513-2715
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1407466089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Perry — Owner · (435) 513-2715
NPI enumeratedAugust 7, 2020
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020
Mailing address3585 N University Ave Ste 250, Provo, UT 84604-6622

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