Individual provider · Type 1 NPI

Bradley Jay Devereaux, DC

Chiropractor · Bountiful, UT

NPI number 1093919359 Active

Practice location

190 W 100 S, Suite A
Bountiful, UT 84010-6205

Call (801) 292-1111 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X368851-1202 (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 1093919359

Bradley Jay Devereaux, DC's National Provider Identifier is 1093919359, issued on Jun 12, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bountiful, UT. The record was last updated on Jul 8, 2007.