LIFE INTEGRATIVE HEALTH CENTER is a clinic center in Provo, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LIFE INTEGRATIVE HEALTH CENTER NPI is 1063833721. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Theta Wellness Center - Provo.
The provider's business location address is:
777 N 500 W
SUITE 104
PROVO, UT
ZIP 84601-541
Phone: (801) 869-8199
Fax: (801) 705-0436
The provider's authorized official is Kendra Bernal .
The authorized official title is Clinical Administrator and has the following contact phone number (801) 869-8199.
The enumeration date for this NPI number is 12/26/2013 and was last updated on 4/9/2014.