Organization
HIGH FIVE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY MARK SHEPHERD D.C. (OWNER)
(801) 636-7499
Entity
Organization
Contact information
Practice address
456 STATE ROAD 198, SALEM, UT 84653-9187
(801) 423-3555
(801) 423-2855
Mailing address
456 NORTH S.R. 198, SALEM, UT 84653
(801) 423-3555
(801) 423-2855
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
71183171202
UT
Other
Enumeration date
09/30/2008
Last updated
06/03/2010
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