Wasatch Wellness Center LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

WASATCH WELLNESS CENTER LLC

Doing business as

Renew Health of Utah

Practice address

5089 S 900 E Ste 100
Murray, UT 84117-5731

Phone

(801) 935-8896

NPI assigned

Jun 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Aaron Ketcher, DNP, FNP-C, CRNA

Title

Owner

Phone

(480) 215-9003

Specialties & licenses 1

Addresses

Other names 1

• Renew Health of Utah Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1326665829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 E HOWARDS WAY",
            "city": "FRUIT HEIGHTS",
            "state": "UT",
            "postal_code": "840375301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5089 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841175731",
            "telephone_number": "801-935-8896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 S 1680 W",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840584939",
            "country_code": "US",
            "telephone_number": "480-215-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WASATCH WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "KETCHER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-215-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, CRNA"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Health of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wasatch Eyeworks Inc
• Wasatch Infusion
• Wasatch Integrated Wellness, LLC
• Wasatch Neurological Clinic
• Wasatch Psychotherapy and Consulting
• Andrea Washburn Landscaping Washburn, SUDCI, BHTI
• Kearsta Kayleen Washburn, FNP-C
• Kristin Croughwell Washburn, MD
• Savannah Rraine Washburn
• Karen M Waskowicz, NP

• Interventional Pain Medicine Physician in Murray, UT
• Providers in Murray, UT by specialty
• Interventional Pain Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.