Healthcare Provider Details

I. General information

NPI: 1881496396
Provider Name (Legal Business Name): GOOD LIFE WELLNESS AND EDUCATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9339 S 1300 E
SANDY UT
84094-3135
US

IV. Provider business mailing address

9339 S 1300 E
SANDY UT
84094-3135
US

V. Phone/Fax

Practice location:
  • Phone: 801-441-6916
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID REES
Title or Position: CEO
Credential:
Phone: 801-441-6916