| NPI | 1134409063 |
|---|---|
| Former Legal Business Name | ALTA VIEW CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ANDREW WANN Owner 801-523-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 5636714-1202) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |