BODY CHIROPRACTIC PLLC NPI 1124480280

NPI Information

  • NPI: 1124480280
  • Provider Name: BODY CHIROPRACTIC PLLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 11075 S STATE ST STE 11B
    SANDY, UT
    ZIP 84070
  • Phone: (801) 871-5652

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NPI Details

BODY CHIROPRACTIC PLLC is a chiropractor in Sandy, 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. BODY CHIROPRACTIC PLLC NPI is 1124480280. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11075 S STATE ST STE 11B
SANDY, UT
ZIP 84070-190
Phone: (801) 871-5652
Fax: (888) 505-5245

The provider's authorized official is Kristina Herrera Portillo .
The authorized official title is Owner and has the following contact phone number (801) 871-5652.

The enumeration date for this NPI number is 3/27/2016 and was last updated on 8/15/2023.

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 Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor9537864-1202UTAHYes

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: 11/21/2025

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