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.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
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