NPI | 1922530955 |
---|---|
Entity Type | Organization |
Authorized Contact | SPENCER CHASE GARDNER Owner And Operator 801-580-3345 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 7733054-1202) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2017-04-27 |