Individual
STEPHANIE ANN DENNISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
550 W 465 N, STE 502, PROVIDENCE, UT 84332-8015
(435) 232-0732
(435) 514-1814
Mailing address
550 W 465 N, STE 502, PROVIDENCE, UT 84332-8015
(435) 232-0732
(435) 514-1814
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6509860-1202
UT
111NP0017X
Pediatric Chiropractor
6509860-1202
UT
Other
Enumeration date
05/25/2007
Last updated
02/09/2024
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