| NPI | 1346776994 |
|---|---|
| Doing Business As | CANYON SPORTS AND SPINE |
| Entity Type | Organization |
| Authorized Contact | MELISSA HANSEN Owner 801-449-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NS0005X Chiropractor, Sports Physician | |
| 207Q00000X Family Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |