Active NPI
Salt Lake Tennis and Health Club
- Registered Dietitian
- Salt Lake City, UT
National Provider Identifier
1659105286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SALT LAKE TENNIS AND HEALTH CLUB
- Practice address
- 2471 S 1700 E
Salt Lake City, UT 84106-3632 - Phone
- (801) 487-3206
- NPI assigned
- Aug 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence Hammel
- Title
- Owner
- Phone
- (508) 479-7355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2471 S 1700 E
Salt Lake City, UT 84106-3632
Mailing address
2471 S 1700 E
Salt Lake City, UT 84106-3632
Phone (801) 487-3206
National Provider Directory
National Provider DirectoryLocations
2471 S 1700 E
Salt Lake City, UT 84106
Phone (801) 487-3206
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1659105286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2471 S 1700 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063632",
"telephone_number": "801-487-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2471 S 1700 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063632",
"telephone_number": "801-487-3206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALT LAKE TENNIS AND HEALTH CLUB",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-27",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "HAMMEL",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-479-7355"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
- Salt Lake Speech & Language Inc.
- Salt Lake Speech and Cognitive Therapy
- Salt Lake Sports Chiropractic
- Salt Lake Surgery Center, LLC
- Salt Lake Surgical Center LP
- Salt Lake Therapy Collective
- Salt Lake Therapy, PLLC
- Salt Lake Transportation Co., LLC
- Salt Lake Trauma Specialists PLLC
- Salt Lake Vascular Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.