| NPI | 1871263178 |
|---|---|
| Doing Business As | VISTA SPINE SPORTS AND INJURY CENTER |
| Entity Type | Organization |
| Authorized Contact | JON B OBRAY Managing Partner 435-215-0230 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |