NPI 1053099366

Summit Wellness Clinic LLC

Organisation Integrative Medicine Physician Draper, UT

Practice location

Address: 12397 S 300 E STE 200, Draper, UT 84020-8274
Phone: (801) 758-0225

Authorised official

Name: Kimberly Kercher Glasgow
Title: Managing Member
Phone: (801) 702-0386

Registered specialties (4)

Integrative Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202D00000X

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Chiropractor

Chiropractic Providers Taxonomy 111N00000X

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1053099366
Entity type: Organization
NPI issued: 6 Jul 2023
Record last updated: 6 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.