| Infinity Rainbow Therapy | |
|
3507 N University Ave Ste 375a Provo UT 84604-4478 | |
| (801) 396-7187 | |
| Not Available |
| Full Name | Infinity Rainbow Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3507 N University Ave Ste 375a, Provo, Utah |
| Authorized Official Name and Position | Benjamin Oviatt Weinheimer (OWNER) |
| Authorized Official Contact | 8013967187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Rainbow Therapy 1275 E 820 N Provo UT 84606-2037 Ph: (801) 396-7187 | Infinity Rainbow Therapy 3507 N University Ave Ste 375a Provo UT 84604-4478 Ph: (801) 396-7187 |
| NPI Number | 1083469555 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 04/20/2024 |
| Certification Date | 04/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083469555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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