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Great Basin Spine And Sports
Chiropractor in Washington Terrace, Utah
NPI 1639485014

Great Basin Spine And Sports is a Chiropractor based in Washington Terrace, UT. Great Basin Spine And Sports practices in Washington Terrace, UT. The NPI Number for Great Basin Spine And Sports is 1639485014 and holds a License No. 7617785-1202 (Utah).

The current practice location address for Great Basin Spine And Sports is 134 E 4600 S, Washington Terrace, UT and can be reached out via phone at 801-627-2023.

Location: 134 E 4600 S, Washington Terrace, UT, 84405-5946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639485014
Provider Name
Great Basin Spine And Sports
Credential
Provider Entity Type
Organization
Address
134 E 4600 S, Washington Terrace, UT, 84405-5946
Phone Number
801-627-2023
Fax Number
Provider Enumeration Date
08/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
134 E 4600 S
City
Washington Terrace
State
Utah
Zip
84405-5946
Phone Number
801-627-2023
Fax Number
person
Provider Business Mailing Address Details
Address
134 E 4600 S
City
Washington Terrace
State
Utah
Zip
84405-5946
Phone Number
801-627-2023
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
7617785-1202 (Utah)
Definition
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.
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