| Organization Name: | THERAPEUTIC WELLNESS CENTER |
| NPI Number: | 1174858823 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAWN FIELDING (EXECUTIVE DIRECTOR) |
| Mailing Address: | 5974 Fashion Point Dr Suite 100 South Ogden |
| State: | UT US |
| Postal Code: | 844034699 |
| Phone Number: | 8014799644 |
| Fax Number: | 8014799639 |
| NPI Enumeration Date: | 10/14/2009 |
| NPI Last Update Date: | 05/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | 7487072-0161 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |