| NPI | 1902147119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LINDSTROM President 801-712-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 6360775-1202) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |