Liberty Health & Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

170061-1202 Issued in UT

Legal business name

LIBERTY HEALTH & WELLNESS LLC

Practice address

1473 S 600 E
Salt Lake City, UT 84105-2062

Phone

(801) 487-1010

Fax

(801) 487-1015

NPI assigned

Dec 19, 2012

Organization subpart

No

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

Authorized official

Name

John Bach, D.C.

Title

Owner

Phone

(801) 487-1010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1962748988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 S 600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052062",
            "telephone_number": "801-487-1010",
            "fax_number": "801-487-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 S 600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052062",
            "telephone_number": "801-487-1010",
            "fax_number": "801-487-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-487-1010",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "170061-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Liava'a
• Kalolaine Liava'a
• Brandysamantha Liavaa
• Sela Liavaa
• Julia Libby, DPT
• Mark Libowitz
• Daisy Licona
• Liddell Family Dentistry
• Jonathan C Liddell, D.M.D.
• Muriell Liddell

• Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.