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Organization
SUMMIT WELLNESS CLINIC LLC
Active
Organization
SUMMIT WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KERCHER GLASGOW DC (MANAGING MEMBER)
(801) 702-0386
Entity
Organization
Contact information
Practice address
12397 S 300 E STE 200, DRAPER, UT 84020-8274
(801) 758-0225
Mailing address
12397 S 300 E STE 200, DRAPER, UT 84020-8274
(801) 702-0386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
202D00000X
Integrative Medicine Physician
Primary
—
NULL
202D00000X
Integrative Medicine Physician
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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