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BRUCE LEE
NPI 1134518210
Substance Abuse Rehabilitation Facility in Salt Lake City, UT

Active since January 13, 2015
344 E 100 S STE 301, SALT LAKE CITY, UT 84111(801) 322-4257 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce Lee NPPES

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

BRUCE LEE (NPI 1134518210) is an individual substance abuse rehabilitation facility provider in Salt Lake City, Utah and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1134518210
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameBRUCE LEE
Location Address344 E 100 S STE 301Salt Lake City, UT 84111-1727
Mailing Address344 East 100 South Ste.301Slc, UT 84111 · (801) 322-4257
Phone(801) 322-4257
Sole ProprietorYes
Enumeration DateJanuary 13, 2015
✔ NPI 1134518210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
344 E 100 S STE 301, Salt Lake City, UT 84111
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Other Providers at the Same Location NPPES 20

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

MR. JEFFREY JON HASLIP
Community Health Worker
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-4257
NANETTE EDITH MOOSMAN
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257
OLIVER TROY WIREMAN
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257
NICOLE RIEGER
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257
LANCE MOCHIZUKI
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257
KACIE PECOR
Counselor (Addiction (Substance Use Disorder))
344 E 100 S STE 301
SLC, UT 84111
Salt Lake County (801) 322-4257
MAYRA P RUIZ
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257
JOHN ROSSON III
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257

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 Bruce Lee's NPI number?

The NPI number for Bruce Lee is 1134518210. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is Bruce Lee located?

Bruce Lee practices at 344 E 100 S Ste 301, Salt Lake City, UT 84111. The listed phone number is (801) 322-4257.

What is Bruce Lee's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Bruce Lee was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.