Alta Mountain Health & Wellness

NPI 1134403629 - Chiropractor - 111N00000X

NPI Details
NPI 1134403629
Enumeration Date 10/04/2011
Last Updated 10/04/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name NATHAN TYLER NATHAN
Position PRESIDENT
Phone (801) 569-8787
Fax
Practice Location
9035 S 1300 E
SUITE 1B
SANDY UT, 84094-3132, US
Phone (801) 569-8787
Fax
Business Location
4692 RAINBOW DR
MURRAY UT, 84107-3810, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Utah
License Number 5501297-1202
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According to our database, Alta Mountain Health & Wellness NPI is 1134403629, taxonomy code is 111N00000X and license number is 5501297-1202, license state is located at Utah. Alta Mountain Health & Wellness physically located at 9035 S 1300 E, Sandy UT, 84094-3132. NPI Number 1033115704 has the healthcare provider type.

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1134403629 NPI number is provided on an as is basis without warranty of any kind. 1134403629 is maintained by the National Plan & Provider Enumeration System. The contents of Alta Mountain Health & Wellness are for informational purposes only.