Organization
BODY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA HERRERA PORTILLO D.C. (OWNER)
(801) 871-5652
Entity
Organization
Contact information
Practice address
11075 S STATE ST STE 11B, SANDY, UT 84070-5190
(801) 871-5652
(888) 505-5245
Mailing address
PO BOX 95307, SOUTH JORDAN, UT 84095-0307
(559) 393-4225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9537864-1202
UT
Other
Enumeration date
03/27/2016
Last updated
08/15/2023
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