Organization
BACK IN ACTION CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EARLEY DC (PRESIDENT)
(435) 554-8827
Entity
Organization
Contact information
Practice address
3935 N 75 W, HYDE PARK, UT 84318-4111
(435) 554-8827
(435) 569-0293
Mailing address
3935 N 75 W, HYDE PARK, UT 84318-4111
(435) 554-8827
(435) 569-0293
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
8367563-1202
UT
111NS0005X
Sports Physician Chiropractor
CHIA-1544
ID
Other
Enumeration date
04/17/2014
Last updated
05/28/2014
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