Organization
GOODMAN CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M. GOODMAN D.C. (OWNER)
(801) 766-0507
Entity
Organization
Contact information
Practice address
85 E STATE ROAD 73, SARATOGA SPRINGS, UT 84045-4823
(801) 766-0507
(801) 766-0838
Mailing address
85 E STATE ROAD 73, SARATOGA SPRINGS, UT 84045-4823
(801) 766-0507
(801) 766-0838
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
349688-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220909429001
—
UT
Enumeration date
09/16/2008
Last updated
09/16/2008
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