| NPI | 1013052380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRK S. WOODMANSEE Owner President 801-562-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 973507121202) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |