| NPI | 1447443973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E GRANT Owner Manager 801-474-2447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 6715760-1202) |
| Additional Taxonomies | 111NR0400X (Licence: UT 6715760-1202) |
| 111NS0005X Chiropractor, Sports Physician (Licence: UT 6715760-1202) | |
| 111NN1001X Chiropractor, Nutrition (Licence: UT 6715760-1202) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2012-03-01 |