| Rooted Pines Pllc | |
|
5131 S 1500 W Riverdale UT 84405-3926 | |
| (385) 722-4586 | |
| Not Available |
| Full Name | Rooted Pines Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5131 S 1500 W, Riverdale, Utah |
| Authorized Official Name and Position | Elizabeth Dewitt (OWNER) |
| Authorized Official Contact | 3857224586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Pines Pllc 5131 S 1500 W Riverdale UT 84405-3926 Ph: (385) 722-4586 | Rooted Pines Pllc 5131 S 1500 W Riverdale UT 84405-3926 Ph: (385) 722-4586 |
| NPI Number | 1265275242 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265275242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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