Healthcare Provider Details

I. General information

NPI: 1053242891
Provider Name (Legal Business Name): LIVING HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3184 MAXINE DR
LAYTON UT
84040-7638
US

IV. Provider business mailing address

3184 MAXINE DR
LAYTON UT
84040-7638
US

V. Phone/Fax

Practice location:
  • Phone: 385-542-2951
  • Fax:
Mailing address:
  • Phone: 385-542-2951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMY MOON
Title or Position: OWNER/OPERATOR
Credential: MOON
Phone: 385-542-2951