Organization
ASPIRE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYFFANI C JACKSON (MANAGING MEMBER)
(801) 899-3904
Entity
Organization
Contact information
Practice address
140 S MAIN ST STE 3, PLEASANT GROVE, UT 84062-2650
(801) 899-3904
Mailing address
140 S MAIN ST STE 3, PLEASANT GROVE, UT 84062-2650
(801) 899-3904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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