| NPI | 1902943863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL LOUIS ERICKSON Owner 435-752-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: UT 169476-1202) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-05-20 |