| NPI | 1619358488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LUNDELL Owner, Chiropractor 801-810-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 7551637-1202) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-08-05 |