Individual provider · Type 1 NPI
M. Shane Watt, DC
Chiropractor · South Jordan, UT
NPI number
1609935956
Active
Practice location
1664 W Town Center Dr, Ste D
South Jordan, UT 84095-8697
Fax (801) 446-5351
Mailing address
1664 Town Center Dr, Ste D
South Jordan, UT 84095-8697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 336524-1202 (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 1609935956
M. Shane Watt, DC's National Provider Identifier is 1609935956, issued on Dec 6, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in South Jordan, UT. The record was last updated on Mar 10, 2025.