OrganizationActive
Axial-Im
NPI 1740843697 · Neuromusculoskeletal Medicine & OMM Physician · Riverton, UT
Provider details
- NPI number
- 1740843697
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mollie Wilson, Authorized Official(913) 499-9885
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurology Physical Therapist2251N0400X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3898 W Innovation Dr Ste B
Riverton, UT 84065-6038
Phone: (801) 302-0660
Fax: (801) 302-2239
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 95411
South Jordan, UT 84095-0411
Other names (DBA / former)
- Other name
- Axial Medicine
- Other name
- Axial Medicine
Additional practice locations (1)
- 1264 W Village Main Dr Unit aWest Valley City, UT 84119-1952Phone: (801) 210-2776Fax: (801) 972-5707
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.