Advanced Spine and Wellness Center LLC
Organization Active NPI Chiropractor · South Jordan, UT
NPI 1821265372 · NPPES record last updated Jan 6, 2009
Key facts
- NPI
- 1821265372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5187435-1202 (UT)
- Legal business name
- ADVANCED SPINE AND WELLNESS CENTER LLC
- Practice address
- 10965 River Front Pkwy
South Jordan, UT 84095-3538 - Phone
- (801) 878-3304
- NPI assigned
- May 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Tom Gledhill
- Title
- Owner
- Phone
- (801) 563-2929
National Provider Directory
Locations
10965 S River Front Pkwy
South Jordan, UT 84095
Phone (801) 446-2822
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5187435-1202 | UT | Yes |
Addresses
Primary practice location
10965 River Front Pkwy
South Jordan, UT 84095-3538
Mailing address
10965 River Front Pkwy
South Jordan, UT 84095-3538
Phone (801) 878-3304
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2009. 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.