Organization
BTKP LLC
Active
Other names
Form Fitness and Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
KALEB VALDEZ DC (MANAGER)
(385) 258-4036
Entity
Organization
Contact information
Practice address
545 W CENTER ST, PLEASANT GROVE, UT 84062-2215
(385) 258-4036
Mailing address
545 W CENTER ST, PLEASANT GROVE, UT 84062-2215
(385) 258-4036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811617095
—
UT
Enumeration date
03/13/2025
Last updated
04/29/2025
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