| NPI | 1972790772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN C. JEFFERY Owner 801-593-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 294426-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 294425-1202) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2011-04-13 |