| NPI | 1679536700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN KENNETH HANSEN Owner 801-225-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 57235551202) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2015-03-18 |