Blake Molis, DC
Individual provider Active NPI Chiropractor · West Valley City, UT
NPI 1104640903 · NPPES record last updated Nov 9, 2024
Key facts
- NPI
- 1104640903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6250645-1202 (UT)
- Practice address
- 3378 W 3500 S
West Valley City, UT 84119-2630 - Phone
- (801) 966-0342
- NPI assigned
- Nov 9, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Able Chiropractic Professional Corporation | Chiropractor | Current |
Accepting new patients |
Locations
3378 W 3500 S
West Valley City, UT 84119
Phone (801) 966-0342
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6250645-1202 | UT | Yes |
Addresses
Primary practice location
3378 W 3500 S
West Valley City, UT 84119-2630
Mailing address
3378 W 3500 S
West Valley City, UT 84119-2630
Phone (801) 966-0342
Other providers in West Valley City, UT
- Jason Miller
- Sumiaya Mohammad
- Harold T Moleni
- Lars Mahonri Moleni
- Liahona Ta'Ape Moleni
- Greg Carl Molis
- Monson Chiropractic PC
- Vimelia Montano-Ramos
- Anjelica Montesdeoca
- Bruce Montgomerie
All providers in West Valley City, UT · Chiropractor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.