Organization · Type 2 NPI
Wasatch Back Wellness, PLLC
Clinic/Center · Heber City, UT
NPI number
1629306790
Active
Practice location
906 S Main St
Heber City, UT 84032-2403
Mailing address
2394 Charros Rd
Sandy, UT 84092-4817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 5850450-1202 (UT) |
Clinic/Center: 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).
Another provider at this address
About NPI 1629306790
Wasatch Back Wellness, PLLC's National Provider Identifier is 1629306790, issued on Nov 30, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Heber City, UT. The record was last updated on Nov 30, 2009.