Healthcare Provider Details

I. General information

NPI: 1487327581
Provider Name (Legal Business Name): INSPIRE HEALTH CLINICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10654 S RIVER HEIGHTS DR STE 130
SOUTH JORDAN UT
84095-5523
US

IV. Provider business mailing address

10654 S RIVER HEIGHTS DR STE 130
SOUTH JORDAN UT
84095-5523
US

V. Phone/Fax

Practice location:
  • Phone: 801-477-5424
  • Fax:
Mailing address:
  • Phone: 801-477-5424
  • Fax: 801-477-7799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DAVID MATTHEW GRAFF
Title or Position: PRESIDENT
Credential: DPM
Phone: 801-477-5424