Individual
DR. MATTHEW KORY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
515 E 4500 S STE G230, SALT LAKE CITY, UT 84107-4510
(385) 743-8833
Mailing address
515 E 4500 S STE G230, SALT LAKE CITY, UT 84107-4510
(385) 743-8833
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10228975-1202
UT
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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