ALPINE SPINAL REHABILITATION CTR NPI 1578731949

NPI Information

ALPINE SPINAL REHABILITATION CTR is a chiropractor in Provo, 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. ALPINE SPINAL REHABILITATION CTR NPI is 1578731949. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3325 N UNIVERSITY AVE STE 125
PROVO, UT
ZIP 84604-615
Phone: (801) 374-2774
Fax: (801) 374-2775

The provider's authorized official is Jerry Clark .
The authorized official title is Owner/president and has the following contact phone number (801) 374-2774.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 12/2/2016.

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:

Other Identifiers

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

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