Individual
SHANON NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12176 S 1000 E, DRAPER, UT 84020-9716
(801) 523-2233
Mailing address
594 TREVEN PL, DRAPER, UT 84020-7656
(801) 523-2232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
51456731202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870395551005
—
UT
Enumeration date
02/15/2006
Last updated
07/08/2007
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