Healthcare Provider Details

I. General information

NPI: 1437724796
Provider Name (Legal Business Name): HEATHER POND ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 N UNIVERSITY PKWY STE 2B
PROVO UT
84604-6714
US

IV. Provider business mailing address

480 N FREEDOM BLVD APT 511
PROVO UT
84601-3024
US

V. Phone/Fax

Practice location:
  • Phone: 385-265-2484
  • Fax:
Mailing address:
  • Phone: 619-483-6054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1171
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number21-00074
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number14222402-7100
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: