# FUNCTIONAL ENDOCRINOLOGY CLINIC

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

## Provider details

- **NPI number:** 1922301365
- **Authorized official:** JOSHUA REDD D.C. (CHIROPRACTOR)
- **Authorized official phone:** (435) 862-0152

## Contact information

- **Practice address:** 10969 RIVER FRONT PKWY \# 108, SOUTH JORDAN, UT 84095-3538
- **Practice address phone:** (435) 862-0152
- **Mailing address:** 8942 COTTAGE CANYON DR, CEDAR HILLS, UT 84062-8781
- **Mailing address phone:** (435) 862-0152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 5791354-1202 | UT | Yes |

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 12/07/2010