Individual
M. SHANE WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1664 W TOWN CENTER DR, STE D, SOUTH JORDAN, UT 84095-8697
(801) 446-0800
(801) 446-5351
Mailing address
1664 TOWN CENTER DR, STE D, SOUTH JORDAN, UT 84095-8697
(801) 446-0800
(801) 446-5351
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
336524-1202
UT
Other
Enumeration date
12/06/2006
Last updated
03/10/2025
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