Healthcare Provider Details

I. General information

NPI: 1831580794
Provider Name (Legal Business Name): HD FITNESS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2015
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

684 S. 1600 W.
MAPLETON UT
84664
US

IV. Provider business mailing address

205 N MAIN ST
SPANISH FORK UT
84660-1726
US

V. Phone/Fax

Practice location:
  • Phone: 801-436-3110
  • Fax:
Mailing address:
  • Phone: 801-436-3110
  • Fax: 385-200-2246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7654055-2401
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HENRY DAVID HUNT
Title or Position: OWNER
Credential: DPT, OCS
Phone: 760-685-2685