Healthcare Provider Details

I. General information

NPI: 1003728908
Provider Name (Legal Business Name): ELOVATE HYPERBARICS LLC/ELOVATION WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 S HIGHLAND DR STE 200
COTTONWOOD HEIGHTS UT
84121-3078
US

IV. Provider business mailing address

6800 S HIGHLAND DR STE 200 SUITE 200
COTTONWOOD HEIGHTS UT
84121-3078
US

V. Phone/Fax

Practice location:
  • Phone: 801-577-9977
  • Fax: 801-996-6554
Mailing address:
  • Phone: 801-577-9977
  • Fax: 801-996-6554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. CORYN CARVER
Title or Position: OWNER
Credential: IBUM
Phone: 801-949-5858