INTEGRATED WELLNESS UTAH FROGLEY HEALTH AND WELLNESS CENTE (NPI# 1629400429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629400429 |
| Entity Type | Organization |
| Organization Name | INTEGRATED WELLNESS UTAH FROGLEY HEALTH AND WELLNESS CENTE |
| Other Organization Name | INTEGRATED WELLNESS |
| Practice Address |
10376 S Jordan Gtwy South Jordan UT 84095-3954 |
| Practice Telephone | 8018160332 |
| Practice Fax Number | 8018160331 |
| Mailing Telephone | 8018160332 |
| Mailing Fax Number | 8018160331 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | RANDY WOODWARD (OWNER) |
| Authorized Official Telephone | 8018160332 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Integrated Wellness | Doing Business As Name - Organization |
| Street Address |
10376 S JORDAN GTWY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-3954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659301083 | Matthew Hansen | Physical Therapist | 10376 S Jordan Gtwy, South Jordan, UT 84095-3954 | 2006-07-03 |
| 1104227511 | Matthew Carter | Physical Therapist | 10376 S Jordan Gtwy, South Jordan, UT 84095-3954 | 2014-09-05 |
| 1801210869 | Kate Mcdermott | Physical Therapist | 10376 S Jordan Gtwy, South Jordan, UT 84095-3954 | 2014-02-11 |
| 1710281167 | Dale Hull | General Practice | 10376 S Jordan Gtwy, South Jordan, UT 84095-3954 | 2010-12-28 |
| 1518271444 | Allyson Gilmore | Occupational Therapist | 10376 S Jordan Gtwy, South Jordan, UT 84095-3954 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609851088 | Kevin Shawn Millet | Chiropractor | 3335 S 900 E, Ste 130, Slc, UT 84106-2189 | 2005-12-08 |
| 1225205941 | Lisa Ditlev Aste | Chiropractor | 1300 E Center St, Provo, UT 84606-3554 | 2008-05-12 |
| 1790801256 | Donald Everett Vradenburg | Chiropractor | 321 N Mall Dr, Suite I 201, St George, UT 84790-7302 | 2007-03-22 |
| 1699773671 | Optimal Health Dynamics PC | Chiropractor | 1117 Country Hills Dr, Suite 2, Ogden, UT 84403-2559 | 2005-07-13 |
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on INTEGRATED WELLNESS UTAH FROGLEY HEALTH AND WELLNESS CENTE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.