NPI 1639347677

Chiro-Active INC.

Organisation Health Maintenance Organization Hyde Park, UT

Practice location

Address: 3935 N 75 W, Hyde Park, UT 84318-4111
Phone: (435) 563-4772

Authorised official

Name: Justin Bruce Traveller
Title: Owner
Phone: (435) 563-4772

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 6859851-1202 (UT)

Other Health Maintenance Organization providers in Utah →

Registry record

NPI: 1639347677
Entity type: Organization
NPI issued: 12 Feb 2008
Record last updated: 3 Mar 2008

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.