| NPI | 1245694728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDIE LYN YOUNGMAN Office Manager 801-475-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 111340-1202) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |