| NPI | 1275045080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HICKEN Clinic Director 435-627-0231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 10353222-1202) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2022-05-26 |