| NPI | 1851592141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELOY K. COOK Owner 801-798-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: UT 5128490-1202) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-12-13 |