Healthcare Provider Details

I. General information

NPI: 1336893395
Provider Name (Legal Business Name): SEVEN PEAKS HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1098 W SOUTH JORDAN PKWY STE 111
SOUTH JORDAN UT
84095-9372
US

IV. Provider business mailing address

1098 W SOUTH JORDAN PKWY STE 111
SOUTH JORDAN UT
84095-9372
US

V. Phone/Fax

Practice location:
  • Phone: 801-427-9779
  • Fax: 801-303-7305
Mailing address:
  • Phone: 801-427-9779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ZACHARY KING
Title or Position: CLINIC DIRECTOR
Credential: DC
Phone: 435-553-9093