| NPI | 1649646969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J REHEISSE Owner 801-944-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: UT 91235421202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 91235421202) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2020-10-01 |