| NPI | 1063651487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN TYLER ELDREDGE Owner/President 801-569-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 55012971202) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2014-08-11 |