NPI | 1548539554 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN JOSEPH COLARUSSO Owner/CEO 801-878-3645 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 5072634-1202) |
Enumeration Date | 2011-12-20 |
Last Update Date | 2011-12-20 |