Organization
BRIDGE TO WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEVITA VAKAUTAKAKALA (OWNER)
(435) 201-1292
Entity
Organization
Contact information
Practice address
1633 S SAINT ANDREWS DR, RICHFIELD, UT 84701-1216
(435) 201-1292
Mailing address
1633 S SAINT ANDREWS DR, RICHFIELD, UT 84701-1216
(435) 201-1292
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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