Chiropractic Health and Rehab, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

55687841202 Issued in UT

Legal business name

CHIROPRACTIC HEALTH AND REHAB, LLC

Practice address

1264 Village Main Dr
Suite a
West Valley City, UT 84119-3396

Phone

(801) 972-0393

Fax

(801) 972-5707

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shane Leon Arnold, D.C.

Title

Agent

Phone

(801) 972-0393

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chiropractic Health and Rehab Former legal business name

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275741001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 VILLAGE MAIN DR",
            "address_2": "SUITE A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193396",
            "telephone_number": "801-972-0393",
            "fax_number": "801-972-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 VILLAGE MAIN DR",
            "address_2": "SUITE A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193396",
            "telephone_number": "801-972-0393",
            "fax_number": "801-972-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "801-972-0393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "55687841202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529792876001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Health and Rehab",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Malinda Christensen, PA-C
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• Pamela Carol Christensen, FNP
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• Chiropractor in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.