Organization
WASATCH INTEGRATED WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SUE TOMLIN (OFFICE MANAGER)
(801) 905-1928
Entity
Organization
Contact information
Practice address
141 E 5600 S STE 204, MURRAY, UT 84107-8242
(801) 905-1928
Mailing address
141 E 5600 S STE 204, MURRAY, UT 84107-8242
(801) 905-1928
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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