Individual
NICHOLAS BROADHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3450 N TRIUMPH BLVD STE 102, LEHI, UT 84043-6132
(801) 316-8249
Mailing address
2780 W FOX HUNTERS LOOP, LEHI, UT 84043-6002
(801) 882-3524
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11105158-1202
UT
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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