Active NPI
Wasatch Integrated Wellness, LLC
- Physical Therapist
- Murray, UT
National Provider Identifier
1740785294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WASATCH INTEGRATED WELLNESS, LLC
- Practice address
- 141 E 5600 S Ste 204
Murray, UT 84107-8242 - Phone
- (801) 905-1928
- NPI assigned
- Mar 27, 2018
- Last updated
- Mar 27, 2018
- 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
- Theresa Sue Tomlin
- Title
- Office Manager
- Phone
- (801) 905-1928
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | ||
| Physical Therapist | 225100000X | NU | Primary | |
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
141 E 5600 S Ste 204
Murray, UT 84107-8242
Mailing address
141 E 5600 S Ste 204
Murray, UT 84107-8242
Phone (801) 905-1928
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Murray, UT
- NPI 1578050175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522108800000",
"number": "1740785294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E 5600 S STE 204",
"city": "MURRAY",
"state": "UT",
"postal_code": "841078242",
"telephone_number": "801-905-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E 5600 S STE 204",
"city": "MURRAY",
"state": "UT",
"postal_code": "841078242",
"telephone_number": "801-905-1928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASATCH INTEGRATED WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A",
"authorized_official_last_name": "TOMLIN",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "801-905-1928"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
- Julie Ann Warr, CSW, ASUDC
- Preston D Warren
- Wasatch Brain and Spine
- Wasatch Eyeworks Inc
- Wasatch Infusion
- Wasatch Neurological Clinic
- Wasatch Psychotherapy and Consulting
- Wasatch Wellness Center LLC (Renew Health of Utah)
- Andrea Washburn Landscaping Washburn, SUDCI, BHTI
- Kearsta Kayleen Washburn, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.