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BACK IN MOTION CHIROPRACTIC LLC

Active
Other names
Greg Freebairn D.C.
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY L FREEBAIRN D.C. (OWNER)
(801) 553-0366
Entity
Organization

Contact information

Practice address
6415 S 3000 E STE 250, SALT LAKE CITY, UT 84121-6905
(801) 553-0366
(801) 553-0367
Mailing address
6415 S 3000 E STE 250, SALT LAKE CITY, UT 84121-6905
(801) 553-0366
(801) 553-0367

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
278352-1202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043328388
NPI PROVIDER NUMBER
UT
Enumeration date
10/02/2006
Last updated
06/25/2008
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