| NPI | 1669628129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH KENNETH GREEN President 801-968-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 1053409235) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2015-05-11 |