| NPI | 1366778201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY D BOWDEN Owner/Physician 801-444-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2024-03-29 |