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 |