NPI 1699204180
Resurgencepro
Practice location
- Address
- 1641 N 2475 W, Clinton, UT 84015-8237
- Phone
- (208) 329-4077
- Fax
- (801) 200-1014
Authorised official
- Name
- Clinton Youngberg
- Title
- Owner
- Phone
- (208) 329-4077
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1699204180
- Entity type
- Organization
- NPI issued
- 8 Jun 2017
- Record last updated
- 21 Jul 2022
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.