Provider Demographics
NPI:1245917921
Name:ROCKWOOD, REILLY BETH (PMHNP-BC, APRN)
Entity type:Individual
Prefix:DR
First Name:REILLY
Middle Name:BETH
Last Name:ROCKWOOD
Suffix:
Gender:F
Credentials:PMHNP-BC, APRN
Other - Prefix:DR
Other - First Name:REILLY
Other - Middle Name:
Other - Last Name:CATEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC, APRN
Mailing Address - Street 1:7050 S HIGHLAND DR STE 210
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121-3762
Mailing Address - Country:US
Mailing Address - Phone:801-878-4081
Mailing Address - Fax:801-432-8264
Practice Address - Street 1:7050 S HIGHLAND DR STE 210
Practice Address - Street 2:
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84121-3762
Practice Address - Country:US
Practice Address - Phone:801-878-4081
Practice Address - Fax:801-432-8264
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10439280-4405363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health