| NPI | 1063685972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY J. HEBERT Owner/Manager 435-513-0685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 5377931-1202) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |