Healthcare Provider Details

I. General information

NPI: 1477376317
Provider Name (Legal Business Name): INTUNE THERAPY & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 11/07/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1144 E COUNTRYWOODS CIRCLE
MIDVALE UT
84047
US

IV. Provider business mailing address

1042 E FORT UNION BLVD # 1045
MIDVALE UT
84047-1800
US

V. Phone/Fax

Practice location:
  • Phone: 801-709-1139
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ASHLA PACE
Title or Position: OWNER
Credential:
Phone: 801-709-1139