Individual
JONATHAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6243 S REDWOOD RD STE 230, TAYLORSVILLE, UT 84123-6410
(801) 878-9565
(385) 881-1122
Mailing address
6243 S REDWOOD RD STE 230, TAYLORSVILLE, UT 84123-6410
(801) 878-9565
(385) 881-1122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11970564-1202
UT
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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