NPIMap

Organization Active NPI

Spine and Muscular Rehabilitation Chiropractic PLLC

  • Health Service Clinic/Center
  • North Logan, UT
National Provider Identifier
1073805289
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
7975292-1202 Issued in UT
Legal business name
SPINE AND MUSCULAR REHABILITATION CHIROPRACTIC PLLC
Practice address
1634 N Main St
North Logan, UT 84341-1920
Phone
(208) 351-8329
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Trenton Stevens, D.C.NPI 1538466818
Title
Owner
Phone
(208) 351-8329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 7975292-1202 UT Primary

Addresses

Primary practice location

1634 N Main St
North Logan, UT 84341-1920

Mailing address

60 N Center St
PO Box 335
Wellsville, UT 84339-9412

National Provider Directory

National Provider Directory

Locations

1634 N Main St
North Logan, UT 84341
Phone (208) 351-8329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1073805289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N CENTER ST",
            "address_2": "PO BOX 335",
            "city": "WELLSVILLE",
            "state": "UT",
            "postal_code": "843399412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 N MAIN ST",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411920",
            "telephone_number": "208-351-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND MUSCULAR REHABILITATION CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "TRENTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-351-8329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "UT",
            "license": "7975292-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.