Individual
DR. ROMAN D. HENTISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1972 W 5400 S, TAYLORSVILLE, UT 84118-1459
(702) 281-6847
Mailing address
8844 S 280 E, SANDY, UT 84070-2343
(702) 281-6847
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
B01172
NV
111NR0400X
Rehabilitation Chiropractor
Primary
5578639-1202
UT
Other
Enumeration date
07/04/2006
Last updated
02/17/2009
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