Colbey Chad Fife, DC
Individual provider Active NPI Chiropractor · Bluffdale, UT
NPI 1194414409 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1194414409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 13370643-1202 (UT)
- Practice address
- 14241 S Redwood Rd Unit A103
Bluffdale, UT 84065-5223 - Phone
- (435) 557-0073
- NPI assigned
- May 3, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13370643-1202 | UT | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13370643-1202 | UT | Yes |
Addresses
Primary practice location
14241 S Redwood Rd Unit A103
Bluffdale, UT 84065-5223
Mailing address
14241 S Redwood Rd Unit A103
Bluffdale, UT 84065-5223
Phone (435) 557-0073
Other providers in Bluffdale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 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.