Adjust Your Life - Chiropractic

NPI 1053586131 - Chiropractor - 111N00000X

NPI Details
NPI 1053586131
Enumeration Date 04/29/2008
Last Updated 04/29/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BLAKE BLAKE
Position DOCTOR/DIRECTOR
Phone (801) 627-2023
Fax
Practice Location
146 E 4600 S
WASHINGTON TERRACE UT, 84405-5946, US
Phone (801) 627-2023
Fax
Business Location
146 E 4600 S
WASHINGTON TERRACE UT, 84405-5946, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Utah
License Number 6796488-1202
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According to our database, Adjust Your Life - Chiropractic NPI is 1053586131, taxonomy code is 111N00000X and license number is 6796488-1202, license state is located at Utah. Adjust Your Life - Chiropractic physically located at 146 E 4600 S, Washington Terrace UT, 84405-5946. NPI Number 1033115704 has the healthcare provider type.

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1053586131 NPI number is provided on an as is basis without warranty of any kind. 1053586131 is maintained by the National Plan & Provider Enumeration System. The contents of Adjust Your Life - Chiropractic are for informational purposes only.