Organization
WASATCH SPORTS AND FAMILY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY JOHNSON D.C. (OWNER)
(940) 453-7602
Entity
Organization
Contact information
Practice address
230 N 1200 E, 102, LEHI, UT 84043-5865
(940) 453-7602
Mailing address
5442 W 10030 N, HIGHLAND, UT 84003-9170
(940) 453-7602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6374884-1202
UT
Other
Enumeration date
09/02/2014
Last updated
11/18/2014
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