Healthcare Provider Details

I. General information

NPI: 1376453662
Provider Name (Legal Business Name): REGENERATION HEALTH OF NORTHERN UTAH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2797 N HWY 89 STE 100
PLEASANT VIEW UT
84404-1231
US

IV. Provider business mailing address

2797 N HWY 89 STE 100
PLEASANT VIEW UT
84404-1231
US

V. Phone/Fax

Practice location:
  • Phone: 801-528-5392
  • Fax: 801-782-6801
Mailing address:
  • Phone: 801-528-5392
  • Fax: 801-782-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GENE CODY SASE
Title or Position: OWNER
Credential: FNP
Phone: 801-528-5392