NPI 1356643001

Sports Chiropractic and Wellness Center PC

Organisation Chiropractor Midvale, UT

Practice location

Address: 193 E Fort Union Blvd 203, Midvale, UT 84047-5660
Phone: (801) 568-1598
Fax: (801) 568-1594

Authorised official

Name: Bruce C Nielson
Title: Owner
Phone: (801) 568-1598

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 365045-1202 (UT)

Other Chiropractor providers in Utah →

Registry record

NPI: 1356643001
Entity type: Organization
NPI issued: 1 Dec 2010
Record last updated: 1 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.