| Far Sky Healing | |
|
4055 S 700 E Ste 101g Millcreek UT 84107-2508 | |
| (385) 645-0566 | |
| Not Available |
| Full Name | Far Sky Healing |
|---|---|
| Speciality | Social Worker |
| Location | 4055 S 700 E Ste 101g, Millcreek, Utah |
| Authorized Official Name and Position | Carrie Gaykowski (OWNER) |
| Authorized Official Contact | 8014502592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Far Sky Healing 1260 E Gilmer Dr Salt Lake City UT 84105-1527 Ph: () - | Far Sky Healing 4055 S 700 E Ste 101g Millcreek UT 84107-2508 Ph: (385) 645-0566 |
| NPI Number | 1114612660 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Medicare PECOS PAC ID | 0143687491 |
|---|---|
| Medicare Enrollment ID | O20230601001822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114612660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carrie Gaykowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760035661 PECOS PAC ID: 9830554070 Enrollment ID: I20230424000655 |
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