Utah Wellness Solutions
Clinic/Center in South Jordan, UT. Organization (NPI-2).
NPI number1083226237
StatusActive
Last updated in NPPESOct 30, 2020
Details
- NPI
- 1083226237
- Entity type
- Organization (NPI-2)
- Legal business name
- Utah Wellness Solutions
- Organization subpart
- No
- Enumeration date
- Aug 19, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1664 W Towne Center Dr Ste DSouth Jordan, UT 84095-8612
Phone 801-495-4444 · Fax 801-495-4444
Mailing address
1664 W Towne Center Dr Ste DSouth Jordan, UT 84095-8612
Phone 801-495-4444 · Fax 801-446-5351
Authorized official
Michael Shane Watt
Owner/ Clinic Director
8014954444
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