| NPI | 1487953931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT PETERSON Owner 435-787-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 2722961202) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: UT 7330185701) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-07-26 |