MEDICARE: LINNELL BODY AND MIND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1053281600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINNELL BODY AND MIND

Provider Business Mailing Address
First Line	:	1053 W STONE FLY DR
Second Line	:
City	:	BLUFFDALE
State	:	UT
Zip	:	84065-5606
Country	:	US
Telephone Number	:	801-875-9212
Fax Number	:	801-999-6967

Provider Business Practice Location Address
First Line	:	489 W SOUTH JORDAN PKWY STE 219
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-3980
Country	:	US
Telephone Number	:	385-556-8331
Fax Number	:	801-999-6967

Authorized Official
Title or Position	:	FAMILY NURSE PRACTITIONER/OWNER
Name	:	AMANDA DAWN HANKINS
Credential	:	FNP-C
Telephone Number	:	801-875-9212

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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Directions to “LINNELL BODY AND MIND ” Practice Location

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