| NPI | 1811020092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C LAFFERTY President 801-465-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: UT 1659181202) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-08-11 |