Organization
INTEGRATED FUNCTIONAL MEDICINE
Active
Parent organization
INTEGRATED FUNCTIONAL MEDICINE, LLC
Other names
Grantsville Back Pain Relief Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED FUNCTIONAL MEDICINE, LLC
Authorized official
KIRK WERSLAND (OWNER)
(801) 296-9355
Entity
Organization
Contact information
Practice address
163 S SR 112 HWY STE 107, GRANTSVILLE, UT 84029-5520
(435) 248-0603
Mailing address
163 S SR 112 HWY STE 107, GRANTSVILLE, UT 84029-5520
(435) 248-0603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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