Healthcare Provider Details

I. General information

NPI: 1912855446
Provider Name (Legal Business Name): EVOLVE HEALING ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 S 100 E
BOUNTIFUL UT
84010-4903
US

IV. Provider business mailing address

485 S 100 E
BOUNTIFUL UT
84010-4903
US

V. Phone/Fax

Practice location:
  • Phone: 801-633-3006
  • Fax:
Mailing address:
  • Phone: 801-633-3006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH DANIELS
Title or Position: OWNER
Credential: LMT
Phone: 801-633-3006