SOUTH JORDAN HEALTH AND WELLNESS NPI 1700135233

NPI Information

SOUTH JORDAN HEALTH AND WELLNESS is a chiropractor in Tooele, 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. SOUTH JORDAN HEALTH AND WELLNESS NPI is 1700135233. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

272 N BROADWAY ST
#11
TOOELE, UT
ZIP 84074-244
Phone: (435) 882-1621
Fax: (435) 882-8267

The provider's authorized official is Matthew Peterson .
The authorized official title is President and has the following contact phone number (435) 882-1621.

The enumeration date for this NPI number is 8/30/2012 and was last updated on 6/27/2016.

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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