Hometown Healthcare LLC
Organization Active NPI Chiropractor · Salem, UT
NPI 1477048858 · NPPES record last updated Jun 27, 2018
Key facts
- NPI
- 1477048858
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 10250498-1202 (UT)
- Legal business name
- HOMETOWN HEALTHCARE LLC
- Practice address
- 591 N State Road 198
Salem, UT 84653-5668 - Phone
- (801) 504-6370
- Fax
- (801) 504-6095
- NPI assigned
- Jun 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Terrill Lane Phelps Jr., DC
- Title
- Doctor/Owner
- Phone
- (801) 504-6370
Subparts reporting this organization as parent 1
Practitioners 1
-
Terrill Lane Phelps Jr., DC, ND
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 10250498-1202 | UT | Yes |
Addresses
Primary practice location
591 N State Road 198
Salem, UT 84653-5668
Mailing address
591 N State Road 198
Salem, UT 84653-5668
Phone (801) 504-6370
Other names
- Hometown Healthcare
Other providers in Salem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2018. 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.