| NPI | 1861803884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DAVENPORT Manager/Chiropractor 801-475-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 6141291-1202) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |