Provider Demographics
NPI:1982405569
Name:JAMIE AT ASPEN LLC
Entity type:Organization
Organization Name:JAMIE AT ASPEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SNELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-899-9183
Mailing Address - Street 1:719 E 440 N
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-6015
Mailing Address - Country:US
Mailing Address - Phone:801-899-9183
Mailing Address - Fax:
Practice Address - Street 1:373 E 800 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-6349
Practice Address - Country:US
Practice Address - Phone:801-899-9183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier