Organization
OPTIMUM CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRILL J PHELPS JR. DC (OWNER)
(801) 504-6370
Entity
Organization
Contact information
Practice address
392 E 12300 S STE C, DRAPER, UT 84020-8043
(801) 849-1029
Mailing address
392 E 12300 S STE C, DRAPER, UT 84020-8043
(801) 849-1029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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