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TIMBER RIDGE HOLDINGS LLC
NPI 1508098906
Psychiatry & Neurology - Clinical Neurophysiology in Washington Terrace, UT

Active since August 18, 2009
448 E 5350 S STE B, WASHINGTON TERRACE, UT 84405(801) 540-4564 Get Directions Write a Review

NPPES record last updated: August 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timber Ridge Holdings Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMBER RIDGE HOLDINGS LLC (NPI 1508098906) is a healthcare organization registered as a clinical neurophysiology in Washington Terrace, Utah and active in the NPI registry since August 2009. The organization lists Brian Pennocks, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1508098906
Entity TypeOrganization
Primary Taxonomy2084N0600X
Legal Business NameTIMBER RIDGE HOLDINGS LLC
Location Address448 E 5350 S STE BWashington Terrace, UT 84405-5415
Mailing Address448 E 5350 S Ste BWashington Terrace, UT 84405-5415
Phone(801) 540-4564
Organization SubpartNo
Authorized OfficialBrian PennocksMedical Director · (801) 698-1160
Enumeration DateAugust 18, 2009
✔ NPI 1508098906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
448 E 5350 S STE B, Washington Terrace, UT 84405
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTERN STATES MEDICAL LLC
Specialist/Technologist, Other (Electroneurodiagnostic)
448 E 5350 S STE B
WASHINGTON TERRACE, UT 84405
Weber County (801) 540-4564

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timber Ridge Holdings LLC's NPI number?

The NPI number for Timber Ridge Holdings LLC is 1508098906. It was assigned to this organization in the NPPES registry on August 18, 2009.

Where is Timber Ridge Holdings LLC located?

Timber Ridge Holdings LLC is located at 448 E 5350 S Ste B, Washington Terrace, UT 84405. The listed phone number is (801) 540-4564.

What is Timber Ridge Holdings LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

When was this NPI record last updated?

The NPPES record for Timber Ridge Holdings LLC was last updated on August 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.