Organization
BACK ON TRACK CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCOIX JACQUES D.C. (PRESIDENT)
(801) 562-0502
Entity
Organization
Contact information
Practice address
1684 REUNION AVE, SUITE 100, SOUTH JORDAN, UT 84095-4608
(801) 562-0502
(801) 302-8265
Mailing address
1684 REUNION AVE, SUITE 100, SOUTH JORDAN, UT 84095-4608
(801) 562-0502
(801) 302-8265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
320003-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870395551005
—
UT
Enumeration date
01/17/2007
Last updated
08/16/2007
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