Summit Spa & Float - Spanish Fork LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SUMMIT SPA & FLOAT - SPANISH FORK LLC

Practice address

63 E 800 N
Spanish Fork, UT 84660-1210

Phone

(435) 660-9623

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Katrina Gubler Long, L.M.T.

Title

Co-Owner/Cfo

Phone

(435) 660-9623

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1700503208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E 800 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601210",
            "telephone_number": "435-660-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E 800 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601210",
            "telephone_number": "435-660-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPA & FLOAT - SPANISH FORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "GUBLER",
        "authorized_official_title_or_position": "CO-OWNER/CFO",
        "authorized_official_telephone_number": "435-660-9623",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janna Stoutenburg, SLP
• Andrew Stratford, RDN
• Laura Strong, LPN
• Scott Stroshine, D.O
• Summit Foot and Ankle Specialists
• Summit Spa & Float Inc.
• Sunset Living LLC
• Superior Healthcare of Spanish Fork
• Amy Michelle Sygnatowicz
• Roman Y Takasaki, M.D.

• Health Service Clinic/Center in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Health Service Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.