# MCCLEAN CHIROPRACTIC CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McClean Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073542999
- **Authorized official:** DR. MATTHEW MCCLEAN D.C. (FACILITY MANAGER)
- **Authorized official phone:** (801) 373-1035

## Contact information

- **Practice address:** 385 N 500 W, PROVO, UT 84601-2681
- **Practice address phone:** (801) 373-1035
- **Practice address fax:** (801) 373-1038
- **Mailing address:** 385 N 500 W, PROVO, UT 84601-2681
- **Mailing address phone:** (801) 373-1035
- **Mailing address fax:** (801) 373-1038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 6136198-2401 | UT | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/22/2020