Organization
UTAH REGENERATIVE HEALTH AND AESTHETICS LLC
Active
Other names
Regen Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON CATMULL (OWNER)
(801) 694-1743
Entity
Organization
Contact information
Practice address
12226 S 1000 E STE 8, DRAPER, UT 84020-3211
(801) 694-1743
Mailing address
6777 W DUSTIN CIR, HERRIMAN, UT 84096-6933
(801) 694-1743
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/20/2025
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