ZACKIE KANISHKA

Social Worker

Active Individual
NPI: 1710549605

Practice Address

117 W 400 S
Salt Lake City, UT 84101

Phone: (801) 428-4257

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 9524947-3502 (UT)

Frequently Asked Questions

NPI 1710549605 is the National Provider Identifier for ZACKIE KANISHKA, a Social Worker provider located in Salt Lake City, UT. This NPI was enumerated on July 1, 2019.
ZACKIE KANISHKA practices at 117 W 400 S, Salt Lake City, UT 84101.

Quick Facts

NPI
1710549605
Type
Individual
Enumerated
Jul 1, 2019
Last Updated
Nov 9, 2025

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