# DRAPER CHIROPRACTIC P.C.

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

## Provider details

- **NPI number:** 1992964480
- **Authorized official:** DR. TIMOTHY R GOODWIN D.C. (OWENER)
- **Authorized official phone:** (801) 523-8700

## Contact information

- **Practice address:** 392 E 12300 S STE C, DRAPER, UT 84020-8043
- **Practice address phone:** (801) 523-8700
- **Practice address fax:** (801) 523-8191
- **Mailing address:** 392 E 12300 S STE C, DRAPER, UT 84020-8043
- **Mailing address phone:** (801) 523-8700
- **Mailing address fax:** (801) 523-8191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NX0100X | Occupational Health Chiropractor | 3583261202 | UT | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008