Healthcare Provider Details

I. General information

NPI: 1871432211
Provider Name (Legal Business Name): INTEGRATIVE MEDICINE OPTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 S 1100 E
SALT LAKE CITY UT
84102-1508
US

IV. Provider business mailing address

1898 S 1500 E
SALT LAKE CITY UT
84105-3856
US

V. Phone/Fax

Practice location:
  • Phone: 385-275-0767
  • Fax:
Mailing address:
  • Phone: 443-474-2130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIZABETH MONSON
Title or Position: NURSE PRACTITIONER
Credential: N.P.
Phone: 443-474-2130