Healthcare Provider Details

I. General information

NPI: 1508719873
Provider Name (Legal Business Name): RECOVERYLINK MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W BROADWAY FL 7
SALT LAKE CITY UT
84101-2060
US

IV. Provider business mailing address

10 W BROADWAY FL 7
SALT LAKE CITY UT
84101-2060
US

V. Phone/Fax

Practice location:
  • Phone: 952-562-2900
  • Fax: 800-783-7956
Mailing address:
  • Phone: 952-562-2900
  • Fax: 800-783-7956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: NICK S
Title or Position: CEO
Credential:
Phone: 612-991-3343