OrganizationActive
Life Health Regeneration LLC
NPI 1215595871 · General Practice Physician · Salt Lake City, UT
Provider details
- NPI number
- 1215595871
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Wood, Owner(801) 450-6940
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1770 E Fort Union Blvd Ste 101
Salt Lake City, UT 84121-2881
Phone: (801) 997-8881
Fax: (801) 944-5910
Street-level locationGet directions
Mailing address
1770 E Fort Union Blvd Ste 101
Salt Lake City, UT 84121-2881
Registry dates
- Enumerated
- 2019-05-30
- Last updated
- 2019-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.