Healthcare Provider Details

I. General information

NPI: 1144153172
Provider Name (Legal Business Name): UPLIFT FOR HER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4685 S HIGHLAND DR STE 208
HOLLADAY UT
84117-5163
US

IV. Provider business mailing address

4685 S HIGHLAND DR STE 208
HOLLADAY UT
84117-5163
US

V. Phone/Fax

Practice location:
  • Phone: 385-401-2895
  • Fax: 385-429-1632
Mailing address:
  • Phone: 385-401-2895
  • Fax: 385-429-1632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: JON CRACROFT
Title or Position: OWNER/CEO
Credential: MBA
Phone: 385-355-4670