| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1093731754 | PERFORMANCE GOLF & WELLNESS CLINIC | PO BOX 307 | BOUNTIFUL | UT | 840110307 | |||
| 1063842144 | ROMNEY | STACEY | ANN | PO BOX 307 | BOUNTIFUL | UT | 840110307 | |
| 1134153562 | WHITE | HENRY | PO BOX 307 | BOUNTIFUL | UT | 840110307 |