| NPI | 1639485014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREGORY GRAVES Single Member 801-627-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 7617785-1202) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-12-28 |