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Active NPI 1154048650 Organization (Entity Type 2)

Summit Spa & Float - Eagle Mountain Llc

Clinic/Center - Health Service • Eagle Mountain, UT

About Summit Spa & Float - Eagle Mountain Llc NPI 1154048650 Summary

Summit Spa & Float - Eagle Mountain Llc is a verified healthcare organization specializing in Clinic/Center - Health Service operating in Eagle Mountain, UT. Located at 3435 E PONY EXPRESS PKWY STE 120, this facility provides patient care and medical services under National Provider Identifier (NPI) 1154048650.

Administrative operations and authorized compliance are overseen by Katrina Long (Co-Owner/Cfo).

The facility is associated with 20 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

3435 E Pony Express Pkwy Ste 120

Eagle Mountain, UT 840055520

Telephone 8019967911

Authorized Official Information

Authorized Contact Name

MRS. Katrina Long , L.M.T.

Title / Role

Co-Owner/cfo

Official Telephone

4356609623

Facility Classifications & Specialties

Clinic/Center - Health Service Primary Taxonomy

NUCC Taxonomy Code: 261QH0100X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

20 Linked
Sienna Pollard , LMT NPI 1013601327

Massage Therapist

Eagle Mountain, UT

View Practitioner Profile →
Paula Duke , LMT NPI 1033836556

Massage Therapist

Eagle Mountain, UT

View Practitioner Profile →
Senator Wilson NPI 1063103141

Massage Therapist

Eagle Mountain, UT

View Practitioner Profile →

Massage Therapist

Eagle Mountain, UT

View Practitioner Profile →
Crystal Larsen , LMT NPI 1104543636

Massage Therapist

Eagle Mountain, UT

View Practitioner Profile →
Kimmy Pearson , LMT NPI 1215786363

Massage Therapist

Eagle Mountain, UT

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 25, 2022

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2022

Registered at 3435 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 840055520 (Tel: 8019967911)

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Updated Business Mailing Address October 25, 2022

Registered at 63 E 800 N, SPANISH FORK, UT 846601210 (Tel: 4356609623)

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Organization / Clinic Name Updated October 25, 2022

Operating as SUMMIT SPA & FLOAT - EAGLE MOUNTAIN LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2022

Clinic/Center

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Initial NPI Registration & Enumeration October 25, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1154048650
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 25, 2022
Last Update: October 25, 2022

Mailing Address

63 E 800 N

Spanish Fork, UT 846601210

Phone: 4356609623

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.