Healthcare Provider Details

I. General information

NPI: 1104741099
Provider Name (Legal Business Name): SUMMIT VITALITY PARTNERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 E BROADWAY STE 724
SALT LAKE CITY UT
84111-2232
US

IV. Provider business mailing address

56 E BROADWAY STE 724
SALT LAKE CITY UT
84111-2232
US

V. Phone/Fax

Practice location:
  • Phone: 385-479-7575
  • Fax: 385-479-7575
Mailing address:
  • Phone: 385-479-7575
  • Fax: 385-479-7575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID M STETTLER
Title or Position: MANAGING MEMBER
Credential: DO
Phone: 385-479-7575