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

Identity Hormones UT LLC

Organization Family Medicine Physician · NPI 1669104402

Identity Hormones UT LLC is a Family Medicine Physician in Salt Lake City, Utah. Registered with an NPI since 2022.

In the registry since
2022
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

1327 E 2100 S Ste 101
Salt Lake City, UT 84105-3763
Phone: (602) 354-3925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1669104402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teah Smith — Credentialing Manager · (901) 205-3999
NPI enumeratedJune 29, 2022
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing address1327 E 2100 S Ste 101, Salt Lake City, UT 84105-3763

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