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Contact Information

SUMMIT WELLNESS CLINIC LLC
12397 S 300 E STE 200
DRAPER, UT84020-8274
 Phone: 801-758-0225
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Chiropractor

111N00000X 35 Chiropractic
 

Massage Therapist

225700000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUMMIT WELLNESS CLINIC LLC · (Female)

NPI Number 1053099366
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2023
Last updated 07/06/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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