Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Between the Lines Rejuvenation LLC

Organization Family Medicine Physician · NPI 1396507984

Between the Lines Rejuvenation LLC is a Family Medicine Physician in Salt Lake City, Utah. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1785 E Wilson Ave
Salt Lake City, UT 84108-2916
Phone: (877) 258-6331
Fax: (718) 362-1651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1349 E Cobble Creek Rd Apt 20h, Salt Lake City, UT 84117-7455 — (801) 694-1197

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1396507984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Corbett — Owner · (801) 694-1197
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027

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