Organization
SPORTS CHIROPRACTIC OF UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN MOUSLEY D.C. (OWNER)
(406) 381-7577
Entity
Organization
Contact information
Practice address
6717 S 900 E STE 101, MIDVALE, UT 84047-5755
(406) 381-7577
Mailing address
6717 S 900 E STE 101, MIDVALE, UT 84047-5755
(406) 381-7577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
03/24/2023
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