PAYSON SPORTS & SPINE LLC NPI 1205261807

NPI Information

NPI: 1205261807
Provider Name: PAYSON SPORTS & SPINE LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
871 SOUTH 500 WEST
PAYSON, UT
ZIP 84651
Phone: (801) 465-2672
Get Directions

PAYSON SPORTS & SPINE LLC is a chiropractor in Payson, UT. The provider is 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. PAYSON SPORTS & SPINE LLC NPI is 1205261807. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

871 SOUTH 500 WEST
PAYSON, UT
ZIP 84651
Phone: (801) 465-2672

The provider's authorized official is Lynn G Adams .
The authorized official title is P.t. and has the following contact phone number (801) 465-2672.

The enumeration date for this NPI number is 9/13/2013 and was last updated on 8/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	225100000X	Physical Therapist	No
2	363L00000X	Nurse Practitioner	No
3	111N00000X	Chiropractor	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PRA04380	MEDICAID	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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