Organization
TERRY H MARTIN, D.C.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY H MARTIN D.C. (PRESIDENT)
(801) 969-8197
Entity
Organization
Contact information
Practice address
1951 W 4700 S, SUITE 1, TAYLORSVILLE, UT 84118-1108
(801) 969-8197
(801) 969-8192
Mailing address
1951 W 4700 S, SUITE1, TAYLORSVILLE, UT 84118-1108
(801) 969-8197
(801) 969-8192
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
161807-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529823124013
—
UT
Enumeration date
09/30/2010
Last updated
09/30/2010
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