Organization
CASCADE SPINAL REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD AUTHUR BEUTLER DC (OWNER)
(801) 235-9977
Entity
Organization
Contact information
Practice address
75 S 200 E, STE 201, PROVO, UT 84606-3146
(801) 235-9977
(801) 235-0949
Mailing address
75 S 200 E, STE 201, PROVO, UT 84606-3146
(801) 235-9977
(801) 235-0949
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
347121-1202
UT
111N00000X
Chiropractor
Primary
353325-1202
UT
Other
Enumeration date
03/12/2007
Last updated
09/04/2013
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