TOTAL THETA WELLNESS NPI 1699105338

NPI Information

NPI: 1699105338
Provider Name: TOTAL THETA WELLNESS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
8789 S HIGHLAND DR
SUITE 200
SANDY, UT
ZIP 84093
Phone: (801) 943-3373
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TOTAL THETA WELLNESS is a family nurse practitioner in Sandy, UT. TOTAL THETA WELLNESS NPI is 1699105338. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8789 S HIGHLAND DR
SUITE 200
SANDY, UT
ZIP 84093-600
Phone: (801) 943-3373
Fax: (801) 943-0599

The provider's authorized official is Martha Southwick .
The authorized official title is Owner and has the following contact phone number (801) 943-3373.

The enumeration date for this NPI number is 11/15/2013 and was last updated on 2/19/2014.

Taxonomy Codes

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	200020-4405	UTAH	Yes

What is NPI?

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: 11/14/2023

NPI Synchronization or Removal

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