Healthcare Provider Details

I. General information

NPI: 1760351456
Provider Name (Legal Business Name): KORU WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2025
Last Update Date: 11/01/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 W MAPLE LOOP DR STE G-100
LEHI UT
84048-5672
US

IV. Provider business mailing address

3130 W MAPLE LOOP DR STE G-100
LEHI UT
84048-5672
US

V. Phone/Fax

Practice location:
  • Phone: 385-600-7036
  • Fax:
Mailing address:
  • Phone: 385-600-7036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EMILEE KRUPA
Title or Position: OWNER
Credential: LMFT, SUDC
Phone: 435-406-4998