Healthcare Provider Details

I. General information

NPI: 1477472595
Provider Name (Legal Business Name): AURA WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 S 1100 E STE B
SALT LAKE CITY UT
84105-2425
US

IV. Provider business mailing address

1524 S 1100 E STE B
SALT LAKE CITY UT
84105-2425
US

V. Phone/Fax

Practice location:
  • Phone: 801-872-3424
  • Fax:
Mailing address:
  • Phone: 801-872-3424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN SALAZAR
Title or Position: OWNER
Credential: PHD
Phone: 801-872-3424