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NPI Code Detail

MEDICARE: VIBE WELLNESS LLC

MEDICARE: VIBE WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1669002416
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIBE WELLNESS LLC
Provider Business Mailing Address
First Line : 3970 S ARCO CIR
Second Line :
City : HOLLADAY
State : UT
Zip : 84124-1727
Country : US
Telephone Number : 801-891-5711
Fax Number :
Provider Business Practice Location Address
First Line : 2263 E MURRAY HOLLADAY RD
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84117-5392
Country : US
Telephone Number : 801-891-5711
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MEGAN HANRAHAN
Credential :
Telephone Number : 801-891-5711
Provider Enumeration Date : 01/21/2020
Last Update Date : 01/21/2020

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Directions to “VIBE WELLNESS LLC ” Practice Location

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