| Theta Wellness Center | |
|
524 W 300 N Suite 102 Provo UT 84601-2667 | |
| (801) 852-1400 | |
| Not Available |
| Full Name | Theta Wellness Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 524 W 300 N, Provo, Utah |
| Authorized Official Name and Position | Kendra A. Bernal (OFFICE MANAGER) |
| Authorized Official Contact | 8018521400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theta Wellness Center 524 W 300 N Suite 102 Provo UT 84601-2667 Ph: (801) 852-1400 | Theta Wellness Center 524 W 300 N Suite 102 Provo UT 84601-2667 Ph: (801) 852-1400 |
| NPI Number | 1891036497 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 03/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891036497 | NPI | - | NPPES |
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