Summit Wellness Clinic LLC
NPI 1053099366 · Integrative Medicine Physician · Draper, UT
Summit Wellness Clinic LLC is a Integrative Medicine Physician organization in Draper, UT (NPI 1053099366).
Provider details
- NPI number
- 1053099366
- Entity type
- Organization
- Primary specialty
- Integrative Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Glasgow, Managing Member(801) 702-0386
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-06
- Last updated
- 2023-07-06
- Certified
- 2023-07-06
Frequently asked questions
- What is Summit Wellness Clinic LLC's NPI number?
- Summit Wellness Clinic LLC's National Provider Identifier (NPI) is 1053099366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Wellness Clinic LLC?
- Summit Wellness Clinic LLC is classified in the NPPES registry as Integrative Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Summit Wellness Clinic LLC located?
- Summit Wellness Clinic LLC's practice location on file with NPPES is 12397 S 300 E Ste 200, Draper, UT 84020-8274.
- What is Summit Wellness Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Summit Wellness Clinic LLC is (801) 758-0225.
- Who is the authorized official for Summit Wellness Clinic LLC?
- The authorized official listed on Summit Wellness Clinic LLC's NPPES record is Kimberly Glasgow, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Wellness Clinic LLC's NPI active?
- Yes — Summit Wellness Clinic LLC's NPI (1053099366) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.