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INTEGRATED WELLNESS GROUP LLC
NPI 1104099571
Chiropractor in Bountiful, UT

Active since April 08, 2008CLIA 46D2100011 · Waiver
135 S 500 W, BOUNTIFUL, UT 84010(801) 292-9355 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Wellness Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED WELLNESS GROUP LLC (NPI 1104099571) is a healthcare organization registered as a chiropractor in Bountiful, Utah and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through August 5, 2027 and lists Kirk Wersland, Owner, as its authorized official.

NPPES Registry Identity

NPI1104099571
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameINTEGRATED WELLNESS GROUP LLC
Location Address135 S 500 WBountiful, UT 84010-8728
Mailing Address135 S 500 WBountiful, UT 84010-8728
Phone(801) 292-9355
Organization SubpartNo
Authorized OfficialKirk WerslandOwner · (801) 292-3955
Enumeration DateApril 8, 2008
✔ NPI 1104099571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
135 S 500 W, Bountiful, UT 84010
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2100011

Integrated Wellness · Bountiful, UT
Active · expires Aug 5, 2027
CLIA Number46D2100011
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorLaura Prater Geoghegan
Laboratory Phone(801) 292-9355
Laboratory LocationIntegrated Wellness458 N 500 W, Bountiful, UT 84010
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTEGRATED WELLNESS OF SALT LAKE
Chiropractor
135 S 500 W
BOUNTIFUL, UT 84010
Davis County (801) 292-9355
DR. SCOTT ASAY DC
Chiropractor
135 S 500 W
BOUNTIFUL, UT 84010
Davis County (801) 296-8060
FROGLEY HOLDING LLC
Chiropractor
135 S 500 W
BOUNTIFUL, UT 84010
Davis County (801) 296-8060
DR. KIRK R WERSLAND DC
Chiropractor
135 S 500 W
BOUNTIFUL, UT 84010
Davis County (801) 292-9355
KJW LLC
Chiropractor
135 S 500 W
BOUNTIFUL, UT 84010
Davis County (801) 292-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Wellness Group LLC's NPI number?

The NPI number for Integrated Wellness Group LLC is 1104099571. It was assigned to this organization in the NPPES registry on April 8, 2008.

Where is Integrated Wellness Group LLC located?

Integrated Wellness Group LLC is located at 135 S 500 W, Bountiful, UT 84010. The listed phone number is (801) 292-9355.

What is Integrated Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does Integrated Wellness Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2100011) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrated Wellness Group LLC was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.