1689198715 NPI number — MIND AND BODY INTEGRATIVE HEALING CENTER

Table of content: (NPI 1689198715)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689198715 NPI number — MIND AND BODY INTEGRATIVE HEALING CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIND AND BODY INTEGRATIVE HEALING CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689198715
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1935 W 4700 S STE 330
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAYLORSVILLE
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84129-1105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-590-8129
Provider Business Mailing Address Fax Number:
801-905-1258

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2860 W 4700 S STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAYLORSVILLE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84129-2159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-590-8129
Provider Business Practice Location Address Fax Number:
801-905-1258
Provider Enumeration Date:
07/31/2017

Additional Information

Authorized Official

Authorized Official Last Name:
MCCLURE
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
WATTSON
Authorized Official Title or Position:
OWNER PARTNER
Authorized Official Telephone Number:
801-590-8129

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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