Healthcare Provider Details

I. General information

NPI: 1477497402
Provider Name (Legal Business Name): HEADMEDS CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 W BLUE GRASS BLVD STE 200
LEHI UT
84048-4190
US

IV. Provider business mailing address

2901 W BLUE GRASS BLVD STE 200
LEHI UT
84048-4190
US

V. Phone/Fax

Practice location:
  • Phone: 801-702-8400
  • Fax:
Mailing address:
  • Phone: 801-702-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: ELISABETH I BENFIELD
Title or Position: MA
Credential:
Phone: 623-340-9870