=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144153172
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UPLIFT FOR HER, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2026
-----------------------------------------------------
Last Update Date | 06/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4685 S HIGHLAND DR STE 208
-----------------------------------------------------
City | HOLLADAY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84117-5163
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 385-401-2895
-----------------------------------------------------
Fax | 385-429-1632
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4685 S HIGHLAND DR STE 208
-----------------------------------------------------
City | HOLLADAY
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84117-5163
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 385-401-2895
-----------------------------------------------------
Fax | 385-429-1632
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CEO
-----------------------------------------------------
Name | JON CRACROFT
-----------------------------------------------------
Credential | MBA
-----------------------------------------------------
Telephone | 385-355-4670
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 171400000X
-----------------------------------------------------
Taxonomy Name | Health & Wellness Coach
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 2083B0002X
-----------------------------------------------------
Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
Taxonomy Code | 207VG0400X
-----------------------------------------------------
Taxonomy Name | Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------