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Organization

CHIROPRACTIC HEALTH AND REHAB, LLC

Active
Other names
Chiropractic Health and Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHANE LEON ARNOLD D.C. (AGENT)
(801) 972-0393
Entity
Organization

Contact information

Practice address
1264 VILLAGE MAIN DR, SUITE A, WEST VALLEY CITY, UT 84119-3396
(801) 972-0393
(801) 972-5707
Mailing address
1264 VILLAGE MAIN DR, SUITE A, WEST VALLEY CITY, UT 84119-3396
(801) 972-0393
(801) 972-5707

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
55687841202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529792876001
UT
Enumeration date
05/17/2007
Last updated
08/22/2020
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