# WASATCH INTEGRATED WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740785294
- **Authorized official:** THERESA SUE TOMLIN (OFFICE MANAGER)
- **Authorized official phone:** (801) 905-1928

## Contact information

- **Practice address:** 141 E 5600 S STE 204, MURRAY, UT 84107-8242
- **Practice address phone:** (801) 905-1928
- **Mailing address:** 141 E 5600 S STE 204, MURRAY, UT 84107-8242
- **Mailing address phone:** (801) 905-1928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/27/2018
- **Last updated:** 03/27/2018