Integrated Wellness Group LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INTEGRATED WELLNESS GROUP LLC

Practice address

135 S 500 W
Bountiful, UT 84010-8728

Phone

(801) 292-9355

NPI assigned

Apr 8, 2008

Organization subpart

No

Name

Kirk Wersland

Title

Owner

Phone

(801) 292-3955

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2008.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1104099571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108728",
            "telephone_number": "801-292-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "WERSLAND",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-292-3955"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bountiful, UT
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.