Life Integrative Health Center
NPI 1063833721 · Clinic/Center · Provo, UT
Life Integrative Health Center is a Clinic/Center organization in Provo, UT (NPI 1063833721).
Provider details
- NPI number
- 1063833721
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kendra Bernal, Clinical Administrator(801) 869-8199
- License
- 00000000000 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Other names (DBA / former)
- Former legal business name
- Theta Wellness Center - Provo
Registry dates
- Enumerated
- 2013-12-26
- Last updated
- 2014-04-09
Frequently asked questions
- What is Life Integrative Health Center's NPI number?
- Life Integrative Health Center's National Provider Identifier (NPI) is 1063833721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Integrative Health Center?
- Life Integrative Health Center is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Life Integrative Health Center located?
- Life Integrative Health Center's practice location on file with NPPES is 777 N 500 W, Provo, UT 84601-1541.
- What is Life Integrative Health Center's phone number?
- The practice phone number listed in the NPPES registry for Life Integrative Health Center is (801) 869-8199.
- Who is the authorized official for Life Integrative Health Center?
- The authorized official listed on Life Integrative Health Center's NPPES record is Kendra Bernal, Clinical Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Integrative Health Center's NPI active?
- Yes — Life Integrative Health Center's NPI (1063833721) is active in the NPPES registry as of the last update on 2014-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.