Provider Demographics
NPI:1629941703
Name:HONIG, AUDREY M
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:M
Last Name:HONIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6955 UNION PARK CENTER DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84047-4192
Mailing Address - Country:US
Mailing Address - Phone:888-265-1068
Mailing Address - Fax:
Practice Address - Street 1:6955 UNION PARK CENTER DRIVE
Practice Address - Street 2:SUITE 400
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84047-4192
Practice Address - Country:US
Practice Address - Phone:888-265-1068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025040871225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty