Neurobolic Health Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

336524-1202 Issued in UT

Legal business name

NEUROBOLIC HEALTH CENTER

Practice address

1664 W 10600 S Ste 4
South Jordan, UT 84095-8611

Phone

(801) 495-4444

Fax

(801) 446-5351

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Michael S Watt, D.C

Title

President

Phone

(801) 495-4444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1215377460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 W 10600 S STE 4",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958611",
            "telephone_number": "801-495-4444",
            "fax_number": "801-446-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 W 10600 S STE 4",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958611",
            "telephone_number": "801-495-4444",
            "fax_number": "801-446-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBOLIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-495-4444",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "336524-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Mae Nelsen, PA-C
• Lacey Marie Nelson
• Makayla Nelson
• Paige Nelson, PA-C
• Rissely Nelson
• Neurohealth
• Neurvana Psychiatry & Wellness
• Lori Christine Newbold
• Kimberly Sue Newman, LCSW
• Meghan Chandell Newman, DNP

• Chiropractor in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.