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

Life Fusion LLC

Organization Psychiatry Physician · NPI 1710637871

Life Fusion LLC is a Psychiatry Physician in Bountiful, Utah. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
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

440 Medical Dr Ste 3
Bountiful, UT 84010-5174
Phone: (801) 698-3710
Fax: (801) 823-0225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Infusion Therapy Clinic/Center Taxonomy 261QI0500X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1710637871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tory Hinkle — Co-Founder · (801) 698-3710
NPI enumeratedMarch 24, 2022
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022
Mailing address242 Lewis Park Cir, Bountiful, UT 84010-5742

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