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Contact Information

INTEGRATED WELLNESS UTAH
10376 S JORDAN GTWY
SOUTH JORDAN, UT84095-3954
 Phone: 801-816-0332
 Fax: 801-816-0331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for INTEGRATED WELLNESS UTAH · (Female)

NPI Number 1629400429
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2013
Last updated 04/12/2022 - About 4 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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