| NPI | 1992964480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY R GOODWIN Owener 801-523-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: UT 3583261202) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |