Organization
MAPLE MOUNTAIN SPINAL REHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON D MCKINNEY DC (DOCTOR)
(801) 691-1581
Entity
Organization
Contact information
Practice address
1247 EXPRESSWAY LN, SPANISH FORK, UT 84660-1333
(801) 691-1581
Mailing address
1247 EXPRESSWAY LN, SPANISH FORK, UT 84660-1333
(801) 691-1581
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3136171202
UT
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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