Organization
SEASONS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB WOOTEN DC (MANAGER)
(801) 878-9565
Entity
Organization
Contact information
Practice address
3298 E 17TH ST, AMMON, ID 83406-6758
(208) 970-6650
(385) 881-1122
Mailing address
6243 S REDWOOD RD STE 230, TAYLORSVILLE, UT 84123-6410
(801) 878-9565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
11/12/2023
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