| NPI | 1124480280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA HERRERA PORTILLO Owner 801-871-5652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 9537864-1202) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2023-08-15 |