Organization
CORPORATE EXPRESS CHIROPRACTIC LLC
Active
Other names
Canyon Sports and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA HANSEN (OWNER)
(801) 449-0313
Entity
Organization
Contact information
Practice address
4700 S 900 E STE 16, MURRAY, UT 84117-4980
(801) 449-0313
Mailing address
4700 S 900 E STE 16, MURRAY, UT 84117-4980
(801) 449-0313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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