2250 Redwood LLC
Chiropractor, Rehabilitation in Salt Lake City, UT. Organization (NPI-2).
NPI number1629581038
StatusActive
Last updated in NPPESJun 20, 2018
Details
- NPI
- 1629581038
- Entity type
- Organization (NPI-2)
- Legal business name
- 2250 Redwood LLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2017
- Last updated
- Jun 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | – | – | Yes |
Other names
- West Valley Accident Rehab (Doing Business As)
Practice location
2250 S Redwood RdSalt Lake City, UT 84119-1348
Phone 385-275-0072
Mailing address
2250 S Redwood RdSalt Lake City, UT 84119-1348
Authorized official
Steve Baker
Owner
3852750072
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