Organization · Type 2 NPI

Great Basin Spine and Sports

Chiropractor · Washington Terrace, UT

NPI number 1639485014 Active

Practice location

134 E 4600 S
Washington Terrace, UT 84405-5946

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X7617785-1202 (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.

2 other providers at this address

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About NPI 1639485014

Great Basin Spine and Sports's National Provider Identifier is 1639485014, issued on Aug 24, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Washington Terrace, UT. The record was last updated on Dec 28, 2010.