OrganizationActive
Liberty Health & Wellness LLC
NPI 1962748988 · Clinic/Center · Salt Lake City, UT
Provider details
- NPI number
- 1962748988
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Bach, Owner(801) 487-1010
- License
- 170061-1202 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1473 S 600 E
Salt Lake City, UT 84105-2062
Phone: (801) 487-1010
Fax: (801) 487-1015
Street-level locationGet directions
Mailing address
1473 S 600 E
Salt Lake City, UT 84105-2062
Registry dates
- Enumerated
- 2012-12-19
- Last updated
- 2012-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.