| NPI | 1528365566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERAN WARNER Co Owner 801-253-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 7861490-1202) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-08-22 |