Individual provider · Type 1 NPI
Trent J. Burrup, DC
Chiropractor · West Jordan, UT
NPI number
1063561009
Active
Practice location
1847 W 9000 S Ste 105
West Jordan, UT 84088-8605
Fax (801) 567-0546
Mailing address
14043 Friendship Dr
Herriman, UT 84065-1787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 267200-1202 (UT) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1063561009
Trent J. Burrup, DC's National Provider Identifier is 1063561009, issued on Jan 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in West Jordan, UT. The record was last updated on Jul 9, 2007.