Total Health and Fitness, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86015229 Issued in UT

Legal business name

TOTAL HEALTH AND FITNESS, LLC

Practice address

767 E 12300 S Ste B
Draper, UT 84020-9587

Phone

(801) 572-8050

NPI assigned

Oct 3, 2013

Last updated

Oct 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Joann Wirtz, MS, RD

Title

Registered Dietitian

Phone

(801) 572-8050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1942637038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 E 12300 S STE B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209587",
            "telephone_number": "801-572-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 E 12300 S STE B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209587",
            "telephone_number": "801-572-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH AND FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "WIRTZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "801-572-8050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "86015229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Draper, UT
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• Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.