| Liberty Health & Wellness Llc | |
|
1473 S 600 E Salt Lake City UT 84105-2062 | |
| (801) 487-1010 | |
| (801) 487-1015 |
| Full Name | Liberty Health & Wellness Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1473 S 600 E, Salt Lake City, Utah |
| Authorized Official Name and Position | John Bach (OWNER) |
| Authorized Official Contact | 8014871010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Health & Wellness Llc 1473 S 600 E Salt Lake City UT 84105-2062 Ph: (801) 487-1010 | Liberty Health & Wellness Llc 1473 S 600 E Salt Lake City UT 84105-2062 Ph: (801) 487-1010 |
| NPI Number | 1962748988 |
|---|---|
| Provider Enumeration Date | 12/19/2012 |
| Last Update Date | 12/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962748988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 170061-1202 (Utah) | Primary |
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