NPI | 1437301660 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK BRADLEY RESETARITS President 801-363-8899 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 176312-1202) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2010-05-03 |