OrganizationActive
Integrated Wellness Utah, LLC
NPI 1164176731 · Interventional Pain Medicine Physician · Slc, UT
Provider details
- NPI number
- 1164176731
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laura Hill, Director of Operations(801) 860-9404
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
34 S 500 E Ste 202
Slc, UT 84102-1094
Phone: (801) 582-2011
Fax: (801) 582-2011
Street-level locationGet directions
Mailing address
34 S 500 E Ste 202
Slc, UT 84102-1094
Other names (DBA / former)
- Other name
- Integrated Pain Specialists
Registry dates
- Enumerated
- 2022-02-11
- Last updated
- 2022-04-12
- Certified
- 2022-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.