Organization · Type 2 NPI

Between the Lines Rejuvenation LLC

Family Medicine Physician · Salt Lake City, UT

NPI number 1396507984 Active

Practice location

1785 E Wilson Ave
Salt Lake City, UT 84108-2916

Call (877) 258-6331 Map

Fax (718) 362-1651

Mailing address

612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027

Other practice locations

  • 1349 E Cobble Creek Rd Apt 20H, Salt Lake City, UT 84117-7455 · (801) 694-1197

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1396507984

Between the Lines Rejuvenation LLC's National Provider Identifier is 1396507984, issued on Jan 29, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 17, 2024.