Organization
CASCADE CHIROPRACTIC AND ACCIDENT REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT WAYNE PROCTOR D.C. (OWNER)
18019670825
Entity
Organization
Contact information
Practice address
3123 W 5400 S, TAYLORSVILLE, UT 84118-2271
(180) 196-7082
Mailing address
3123 W 5400 S, TAYLORSVILLE, UT 84118-2271
(180) 196-7082
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6562898-1202
UT
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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