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

Roots and Raices Functional Medicine Inc

Organization Health Service Clinic/Center · NPI 1952955296

Roots and Raices Functional Medicine Inc is a Health Service Clinic/Center in South Ogden, Utah. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1452 E Ridgeline Dr Ste 5
South Ogden, UT 84405-4949
Phone: (435) 267-7668
Fax: (385) 298-4027
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1952955296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Naylor — President · (435) 267-7668
Other names Roots And Raices Functional Medicine; Roots And Raices Functional Medicine
NPI enumeratedJuly 25, 2019
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020
Mailing address1452 E Ridgeline Dr Ste 5, Ogden, UT 84405-4949