MEDICARE: GOOD LIFE WELLNESS AND EDUCATION, LLC

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	261QI0500X	Infusion Therapy Clinic/Center
2	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1881496396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD LIFE WELLNESS AND EDUCATION, LLC

Provider Business Mailing Address
First Line	:	9339 S 1300 E
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-3135
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9339 S 1300 E
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-3135
Country	:	US
Telephone Number	:	801-441-6916
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAVID REES
Credential	:
Telephone Number	:	801-441-6916

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	03/25/2025

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Directions to “GOOD LIFE WELLNESS AND EDUCATION, LLC ” Practice Location

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