Healthcare Provider Details

I. General information

NPI: 1639002793
Provider Name (Legal Business Name): BOND PELVIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9657 S 700 E
SANDY UT
84070-3557
US

IV. Provider business mailing address

7533 S CENTER VIEW CT # 4624
WEST JORDAN UT
84084-5526
US

V. Phone/Fax

Practice location:
  • Phone: 801-613-8264
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA NICOLE BOND
Title or Position: OWNER
Credential: PT, DPT, PWCS
Phone: 801-613-8264