| NPI | 1164014908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO MARTINEZ-FERRATE Medical Director 801-651-4283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |