Healthcare Provider Details

I. General information

NPI: 1366386906
Provider Name (Legal Business Name): OURO SUMMIT INVESTMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 N 980 W
OREM UT
84057-7709
US

IV. Provider business mailing address

1022 E 1050 N
HEBER CITY UT
84032-4588
US

V. Phone/Fax

Practice location:
  • Phone: 469-512-9155
  • Fax:
Mailing address:
  • Phone: 469-512-9155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DANIELA DE OLIVEIRA
Title or Position: HEALTHCARE ADMINISTRATOR
Credential:
Phone: 469-512-9155