Life Skills Nutritional Supplements

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20021545 Issued in UT

Legal business name

LIFE SKILLS NUTRITIONAL SUPPLEMENTS

Practice address

6912 S 185 W
Suite a
Midvale, UT 84047-3719

Phone

(801) 554-1830

Fax

(801) 858-2626

NPI assigned

Aug 26, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Angie Jeanie Doherty

Title

Manager

Phone

(801) 554-1830

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1750374443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15173 ROSE CANYON RD",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840654482",
            "telephone_number": "801-554-1830",
            "fax_number": "801-858-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 S 185 W",
            "address_2": "SUITE A",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473719",
            "telephone_number": "801-554-1830",
            "fax_number": "801-858-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS NUTRITIONAL SUPPLEMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "JEANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-554-1830",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "20021545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lettau
• Keith A Lever, D.D.S
• Ryan Lewis
• Gail Joanne Liese, PH.D.
• Nancy Lieu, LCSW
• Life Stone Group, LLC
• Ronald Guy Lindsey, L.AC.
• Bailee Lingenfelter-Shireman
• Daycie Little
• Marilyn Louise Little, APRN, PP

• Durable Medical Equipment & Medical Supplies in Midvale, UT
• Providers in Midvale, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.