Individual provider · Type 1 NPI
Matthew Kory Jackson, DC
Chiropractor · Salt Lake City, UT
NPI number
1093289795
Active
Practice location
515 E 4500 S Ste G230
Salt Lake City, UT 84107-4510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 10228975-1202 (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 1093289795
Matthew Kory Jackson, DC's National Provider Identifier is 1093289795, issued on Jan 15, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 15, 2019.