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Organization
TOTAL BODY CHIROPRACTIC CLINIC, INC.
Active
Organization
TOTAL BODY CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL R FRAZIER CMA (OFFICE MANAGER)
(435) 783-2838
Entity
Organization
Contact information
Practice address
185 S MAIN ST, SUITE D, KAMAS, UT 84036-9597
(435) 783-2838
(435) 783-2840
Mailing address
185 S MAIN ST, SUITE D, KAMAS, UT 84036-9597
(435) 783-2838
(435) 783-2840
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50499451200001
REGENCE BCBS
UT
01
—
50499451277001
FEDERAL BCBS
UT
01
—
67337
PEHP
UT
05
—
870395551005
—
UT
01
—
QM0000056512
ALTIUS
UT
Enumeration date
03/24/2008
Last updated
03/24/2008
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