| NPI | 1831534130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL DREW ROBERTS Owner 801-706-5816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 8622553-1202) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2020-03-11 |