| NPI | 1245414705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN TROY ALLEN Manager/Owner 435-986-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 5818269-1202) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2023-01-26 |