Organization
SPINE AND MUSCULAR REHABILITATION CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENTON STEVENS D.C. (OWNER)
(208) 351-8329
Entity
Organization
Contact information
Practice address
1634 N MAIN ST, NORTH LOGAN, UT 84341-1920
(208) 351-8329
Mailing address
60 N CENTER ST, PO BOX 335, WELLSVILLE, UT 84339-9412
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
7975292-1202
UT
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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