| NPI | 1437400561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH KENNETH GREEN Owner 801-259-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: UT 1710441202) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |