Jennifer Gubler Tholen
Individual provider Active NPI Health & Wellness Coach · Santa Clara, UT
NPI 1710696513 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1710696513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 2551 Bella Vista Dr
Santa Clara, UT 84765-1207 - Phone
- (801) 557-9701
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
2551 Bella Vista Dr
Santa Clara, UT 84765-1207
Mailing address
2551 Bella Vista Dr
Santa Clara, UT 84765-1207
Phone (801) 557-9701
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- The Other Side of Birth
- Brandon Michael Thomas
- William McKinzie Tobler
- Nathan Utley
- Kathryn Denise Vandenberg
- Jenna Waite
All providers in Santa Clara, UT · Health & Wellness Coach in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.