Southwest Personal Injury

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

176210-1202 Issued in UT

Legal business name

SOUTHWEST PERSONAL INJURY

Practice address

14584 S Valley Crest Way
Bluffdale, UT 84065-5163

Phone

(801) 254-9400

Fax

(801) 254-5739

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Brad N Peterson, DC

Title

President

Phone

(801) 254-9400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1649706615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14584 S VALLEY CREST WAY",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840655163",
            "telephone_number": "801-254-9400",
            "fax_number": "801-254-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14584 S VALLEY CREST WAY",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840655163",
            "telephone_number": "801-254-9400",
            "fax_number": "801-254-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PERSONAL INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-254-9400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "176210-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittan Ashley Rooney, PT, DPT, OCS
• Holly M Scott
• Misty R Shields
• Smiths Food & Drug Centers Inc
• South Valley Women'S Health Care, PC
• Cory Speaker, LCMHC
• Chad G Spencer, FNP-C
• Jonasue Sanders Stapley
• Sundara Medical LLC
• Sundara MHS LLC

• Chiropractor in Bluffdale, UT
• Providers in Bluffdale, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.