| NPI | 1134403629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN TYLER ELDREDGE President 801-569-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 5501297-1202) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |