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 |