Organization
ELEVATED HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD LAMAR MILLER D.C. (OWNER/CHIROPRACTOR)
(801) 643-2020
Entity
Organization
Contact information
Practice address
195 E GENTILE ST STE 7, LAYTON, UT 84041-3754
(801) 643-2020
(801) 546-0966
Mailing address
195 E GENTILE ST STE 7, LAYTON, UT 84041-3754
(801) 643-2020
(801) 546-0966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8062892-12020
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000075051
BRAD MILLER PTAN
UT
01
—
U000075052
ELEVATED HEALTH AND WELLNESS PTAN
UT
Enumeration date
10/12/2011
Last updated
01/19/2012
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