Individual
DR. MICHAEL LOREN MASSENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1951 W 4700 S, SUITE 2, TAYLORSVILLE, UT 84118-1108
(801) 969-4700
(801) 969-7217
Mailing address
5392 AUTUMN HEIGHTS DR, RIVERTON, UT 84096-6571
(801) 302-3865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5248896-1202
UT
Other
Enumeration date
09/14/2006
Last updated
07/19/2007
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