Healthcare Provider Details

I. General information

NPI: 1881512234
Provider Name (Legal Business Name): ARCHES INTEGRATIVE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 S HIGHWAY 191 STE 2
MOAB UT
84532-3450
US

IV. Provider business mailing address

2700 S HIGHWAY 191 STE 2
MOAB UT
84532-3450
US

V. Phone/Fax

Practice location:
  • Phone: 435-220-8669
  • Fax:
Mailing address:
  • Phone: 435-220-8669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE MARIE RICKS
Title or Position: PHYSICIAN ASSISTANT/OWNER
Credential: PA-C
Phone: 435-220-8669