| NPI | 1053099366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KERCHER GLASGOW Managing Member 801-702-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |