Healthcare Provider Details

I. General information

NPI: 1881549590
Provider Name (Legal Business Name): EATGROWTHRIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S 900 E
SALT LAKE CITY UT
84105-2305
US

IV. Provider business mailing address

1501 S 900 E
SALT LAKE CITY UT
84105-2305
US

V. Phone/Fax

Practice location:
  • Phone: 385-528-8058
  • Fax:
Mailing address:
  • Phone: 385-528-8058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH CAZIER
Title or Position: OWNER
Credential: M.S.
Phone: 385-528-8058