Resurgencepro

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RESURGENCEPRO

Practice address

1641 N 2475 W
Clinton, UT 84015-8237

Phone

(208) 329-4077

Fax

(801) 200-1014

NPI assigned

Jun 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clinton Youngberg

Title

Owner

Phone

(208) 329-4077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699204180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 N 2475 W",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158237",
            "telephone_number": "208-329-4077",
            "fax_number": "801-200-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 N 2475 W",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158237",
            "telephone_number": "208-329-4077",
            "fax_number": "801-200-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCEPRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YOUNGBERG",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-329-4077"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promontory Vision Partners (Clinton Family Vision)
• Tiffani Pulley
• Q Mental Health LLC
• Javee Jeen Reinen
• Collette Campbell Renstrom, NP-C
• Ridgeline Clinton LLC (The Peaks at Clinton)
• Kilee Danielle Robinson, PA-C
• Roe RX Inc (Westside Health Mart)
• John Lee Roring, DDS
• Allen Rose

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.