Organization
REBOOT CENTERS HOBBLE CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDEL SMITH LMT, PHD (PRESIDENT)
(801) 376-0577
Entity
Organization
Contact information
Practice address
1154 LEFT FORK HOBBLE CREEK CANYON RD, SPRINGVILLE, UT 84663
(929) 437-4325
Mailing address
1154 LEFT FORK HOBBLE CREEK CANYON RD, SPRINGVILLE, UT 84663
(929) 437-4325
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
111NN0400X
Neurology Chiropractor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
146N00000X
Basic Emergency Medical Technician
—
—
152WV0400X
Vision Therapy Optometrist
—
—
171100000X
Acupuncturist
—
—
173C00000X
Reflexologist
—
—
207Q00000X
Family Medicine Physician
—
—
221700000X
Art Therapist
—
—
225700000X
Massage Therapist
—
—
225A00000X
Music Therapist
—
—
246RP1900X
Phlebotomy Technician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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