Robert Thomas Allred, D.C.
Individual provider Active NPI Chiropractor · Logan, UT
NPI 1992002455 · NPPES record last updated Feb 25, 2011
Key facts
- NPI
- 1992002455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 7868355-1202 (UT)
- Practice address
- 944 South Highway 89/91
Logan, UT 84321 - Phone
- (801) 419-7824
- Fax
- (435) 755-5040
- NPI assigned
- Feb 18, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7868355-1202 | UT | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7868355-1202 | UT | Yes |
Addresses
Primary practice location
944 South Highway 89/91
Logan, UT 84321
Mailing address
944 South Highway 89/91
Logan, UT 84321
Phone (801) 419-7824
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2011. 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.