NPI 1740843697 · live from the CMS NPI Registry
Axial-Im
Neuromusculoskeletal Medicine & OMM in Riverton, UT. National Provider Identifier 1740843697, active.
NPI record
| NPI | 1740843697 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Neuromusculoskeletal Medicine & OMM 204D00000X |
| Practice location | 3898 W Innovation Dr Ste B, Riverton, UT 84065 |
| Practice phone | 801-302-0660 |
| Mailing address | Po Box 95411, South Jordan, UT 84095 |
| Enumerated | April 17, 2019 |
| Last updated | March 5, 2025 |
| Authorized official | Mollie Wilson, Authorized Official |
| Other names | Axial Medicine |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neuromusculoskeletal Medicine & OMM primary | 204D00000X | — |
| Physical Therapist, Neurology | 2251N0400X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.