Advanced Technology Spinal Center, Inc.
Organization Active NPI Chiropractor · Centerville, UT
NPI 1144389552 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1144389552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 176374-1202 (UT)
- Legal business name
- ADVANCED TECHNOLOGY SPINAL CENTER, INC.
- Practice address
- 174 W Parrish LN
Centerville, UT 84014 - Phone
- (801) 298-7330
- Fax
- (801) 295-5434
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert E Park, D.C.
- Title
- Ceo
- Phone
- (801) 298-7330
National Provider Directory
Locations
174 W Parrish Ln
Centerville, UT 84014
Phone (801) 298-7330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 176374-1202 | UT | Yes |
Addresses
Primary practice location
174 W Parrish LN
Centerville, UT 84014
Mailing address
174 W Parrish LN
Centerville, UT 84014
Phone (801) 298-7330
Other providers in Centerville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.