Healthcare Provider Details
I. General information
NPI: 1417833245
Provider Name (Legal Business Name): ATKINSON WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1448 N 2000 W STE 12
CLINTON UT
84015-8388
US
IV. Provider business mailing address
1448 N 2000 W STE 12
CLINTON UT
84015-8388
US
V. Phone/Fax
- Phone: 801-726-3633
- Fax:
- Phone: 801-726-3633
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AUSTIN
D
ATKINSON
Title or Position: OWNER/DOCTOR
Credential: DC
Phone: 801-726-3633