OrganizationActive
Vital Life Brands
NPI 1134941925 · Obesity and Weight Management Nutrition Registered Dietitian · South Salt Lake, UT
Provider details
- NPI number
- 1134941925
- Entity type
- Organization
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Michael Debenham, Managing Member(801) 703-5885
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3355 S State St
South Salt Lake, UT 84115-4526
Phone: (801) 335-5843
Fax: (801) 335-5843
Approximate (ZIP-level) locationGet directions
Mailing address
3355 S State St
South Salt Lake, UT 84115-4526
Other names (DBA / former)
- Doing business as
- Simply Wellness
Additional practice locations (1)
- 2435 W 450 S Ste 102Pleasant Grove, UT 84062-3163Phone: (801) 396-0924Fax: (801) 335-5843
Registry dates
- Enumerated
- 2024-10-31
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.