Organization
UTAH CHIRO SPORT, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER TAUMOLI DC (OWNER)
(801) 255-0665
Entity
Organization
Contact information
Practice address
8846 S REDWOOD RD, SUITE N-103, WEST JORDAN, UT 84088-8408
(801) 255-0665
Mailing address
8846 S REDWOOD RD, SUITE N-103, WEST JORDAN, UT 84088
(801) 255-0665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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