Organization
SPORTS CHIROPRACTIC AND WELLNESS CENTER PC
Active
Other names
Optimal Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE C NIELSON DC (OWNER)
(801) 568-1598
Entity
Organization
Contact information
Practice address
193 E FORT UNION BLVD, 203, MIDVALE, UT 84047-5660
(801) 568-1598
(801) 568-1594
Mailing address
193 E FORT UNION BLVD, 203, MIDVALE, UT 84047-5660
(801) 568-1598
(801) 568-1594
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
365045-1202
UT
Other
Enumeration date
12/01/2010
Last updated
06/01/2016
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