# CAMPBELL CHIROPRACTIC CLINIC

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

## Provider details

- **NPI number:** 1619240561
- **Authorized official:** KAYLA LARSEN (MANAGER)
- **Authorized official phone:** (801) 566-4357

## Contact information

- **Practice address:** 115 FORT UNION BLVD, MIDVALE, UT 84047-1533
- **Practice address phone:** (801) 566-4357
- **Practice address fax:** (801) 566-4476
- **Mailing address:** 115 FORT UNION BLVD, MIDVALE, UT 84047-1533
- **Mailing address phone:** (801) 566-4357
- **Mailing address fax:** (801) 566-4476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 165972-1202 | UT | Yes |

## Other

- **Enumeration date:** 02/22/2012
- **Last updated:** 05/29/2019