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Dr. Keagan Tice Smallwood, DC
Chiropractor in South Jordan, Utah
NPI 1639785173

Keagan Tice Smallwood is a Chiropractor based in South Jordan, UT. Keagan Tice Smallwood practices in South Jordan, UT and has the professional credentials of DC. The NPI Number for Keagan Tice Smallwood is 1639785173 and holds a License No. 14500 (Utah).

The current practice location address for Keagan Tice Smallwood is 912 W Baxter Dr Ste 130, South Jordan, UT and can be reached out via phone at 385-308-4355.

Location: 912 W Baxter Dr Ste 130, South Jordan, UT, 84095-5876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639785173
Provider Name
Keagan Tice Smallwood
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
912 W Baxter Dr Ste 130, South Jordan, UT, 84095-5876
Phone Number
385-308-4355
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
912 W Baxter Dr Ste 130
City
South Jordan
State
Utah
Zip
84095-5876
Phone Number
385-308-4355
Fax Number
person
Provider Business Mailing Address Details
Address
912 W Baxter Dr Ste 130
City
South Jordan
State
Utah
Zip
84095-5876
Phone Number
385-308-4355
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
14500 (Texas)
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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