# COLLARD CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013583731
- **Authorized official:** CHAD L COLLARD D.C. (DOCTOR/ MEMBER)
- **Authorized official phone:** (801) 569-1141

## Contact information

- **Practice address:** 9071 S 1300 W STE 105, WEST JORDAN, UT 84088-6694
- **Practice address phone:** (801) 569-1141
- **Practice address fax:** (801) 569-1171
- **Mailing address:** 9071 S 1300 W STE 105, WEST JORDAN, UT 84088-6694
- **Mailing address phone:** (801) 569-1141
- **Mailing address fax:** (801) 569-1171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 06/10/2021