| NPI | 1770903684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EARLEY President 435-554-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: UT 8367563-1202) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: ID CHIA-1544) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-05-28 |