Organization
MILLCREEK CHIROPRACTIC LLC
Active
Parent organization
EAST MILLCREEK CHIROPRACTIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST MILLCREEK CHIROPRACTIC, LLC
Authorized official
DR. THOMAS E GRANT JR. D.C. (OWNER MANAGER)
(801) 474-2447
Entity
Organization
Contact information
Practice address
4700 S 900 E STE 41G, SALT LAKE CITY, UT 84117-4938
(801) 747-2886
(801) 716-3532
Mailing address
4700 S 900 E STE 41G, SALT LAKE CITY, UT 84117-4938
(801) 747-2447
(801) 716-3532
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6715760-1202
UT
111NN1001X
Nutrition Chiropractor
6715760-1202
UT
111NR0400X
Rehabilitation Chiropractor
6715760-1202
UT
111NS0005X
Sports Physician Chiropractor
6715760-1202
UT
Other
Enumeration date
08/17/2007
Last updated
03/01/2012
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