Individual provider · Type 1 NPI
Nathan Randall Wall, DC
Pediatric Chiropractor · Draper, UT
Practice location
12197 S Draper Gate Dr
Draper, UT 84020-8078
Fax (801) 590-0643
Mailing address
12197 S. Draper Gate Dr., Ste. 108
Silverdale, UT 98383-8301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Chiropractor Primary | 111NP0017X | 6145802-1202 (UT) |
Pediatric Chiropractor: The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents.
About NPI 1578810123
Nathan Randall Wall, DC's National Provider Identifier is 1578810123, issued on Aug 13, 2012. The primary taxonomy on file is Pediatric Chiropractor (111NP0017X), and the practice location is in Draper, UT. The record was last updated on Apr 4, 2018.