| NPI | 1497201370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CLARK Owner 801-747-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: UT 9647019-1202) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2018-02-01 |