NPI | 1356643001 |
---|---|
Doing Business As | OPTIMAL WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | BRUCE C NIELSON Owner 801-568-1598 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 365045-1202) |
Enumeration Date | 2010-12-01 |
Last Update Date | 2016-06-01 |