| Life Integrative Health Center | |
|
777 N 500 W Suite 104 Provo UT 84601-1541 | |
| (801) 869-8199 | |
| (801) 705-0436 |
| Full Name | Life Integrative Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 777 N 500 W, Provo, Utah |
| Authorized Official Name and Position | Kendra Bernal (CLINICAL ADMINISTRATOR) |
| Authorized Official Contact | 8018698199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Integrative Health Center 777 N 500 W Ste 104 Provo UT 84601-1541 Ph: (801) 869-8199 | Life Integrative Health Center 777 N 500 W Suite 104 Provo UT 84601-1541 Ph: (801) 869-8199 |
| NPI Number | 1063833721 |
|---|---|
| Provider Enumeration Date | 12/26/2013 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063833721 | NPI | - | NPPES |
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