| Utah Wellness Solutions | |
|
1664 W Towne Center Dr Ste D South Jordan UT 84095-8612 | |
| (801) 495-4444 | |
| (801) 495-4444 |
| Full Name | Utah Wellness Solutions |
|---|---|
| Speciality | Clinic/Center |
| Location | 1664 W Towne Center Dr Ste D, South Jordan, Utah |
| Authorized Official Name and Position | Michael Shane Watt (OWNER/ CLINIC DIRECTOR) |
| Authorized Official Contact | 8014954444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Wellness Solutions 1664 W Towne Center Dr Ste D South Jordan UT 84095-8612 Ph: (801) 495-4444 | Utah Wellness Solutions 1664 W Towne Center Dr Ste D South Jordan UT 84095-8612 Ph: (801) 495-4444 |
| NPI Number | 1083226237 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 10/30/2020 |
| Medicare PECOS PAC ID | 5496165011 |
|---|---|
| Medicare Enrollment ID | O20201110000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083226237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Vanessa May Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063975613 PECOS PAC ID: 1153655006 Enrollment ID: I20190626001289 |
| Provider Name | Kathleen Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326622689 PECOS PAC ID: 9739581315 Enrollment ID: I20210706002848 |
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