Organization
S&JW LLC
Active
Other names
Activate Brain Clinic & Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
SETH WOOLSTENHULME DC (OWNER)
(801) 616-8825
Entity
Organization
Contact information
Practice address
859 WASHINGTON BLVD STE 1, OGDEN, UT 84404-4972
(801) 621-6155
Mailing address
859 WASHINGTON BLVD STE 1, OGDEN, UT 84404-4972
(801) 621-6155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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