| Peakrestore Wellness | |
|
169 N Gateway Dr Ste 130 Providence UT 84332-9737 | |
| (435) 227-5371 | |
| (385) 900-1612 |
| Full Name | Peakrestore Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 169 N Gateway Dr Ste 130, Providence, Utah |
| Authorized Official Name and Position | Matthew Michael Hill (CEO, OWNER) |
| Authorized Official Contact | 4352275371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peakrestore Wellness 3105 S 225 W # A102 Nibley UT 84321-7067 Ph: (385) 222-8368 | Peakrestore Wellness 169 N Gateway Dr Ste 130 Providence UT 84332-9737 Ph: (435) 227-5371 |
| NPI Number | 1457160376 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457160376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261Q00000X | Clinic/center | () | Secondary |
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