Organization
ADJUST YOUR LIFE - CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE FENTON D.C. (DOCTOR/DIRECTOR)
(801) 627-2023
Entity
Organization
Contact information
Practice address
146 E 4600 S, WASHINGTON TERRACE, UT 84405-5946
(801) 627-2023
Mailing address
146 E 4600 S, WASHINGTON TERRACE, UT 84405-5946
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6796488-1202
UT
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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