Amelia L Blotter, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Pleasant Grove, UT

NPI

1508614694

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

14250372-1206 (UT)

Sex

Female

Sole proprietor

Yes

Enumerated

2024-05-13

Last updated

2025-10-29