CHIROPRACTIC HEALTH AND REHAB, LLC (NPI# 1275741001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275741001 |
| Entity Type | Organization |
| Organization Name | CHIROPRACTIC HEALTH AND REHAB, LLC |
| Other Organization Name | CHIROPRACTIC HEALTH AND REHAB |
| Practice Address |
1264 Village Main Dr Suite A West Valley City UT 84119-3396 |
| Practice Telephone | 8019720393 |
| Practice Fax Number | 8019725707 |
| Mailing Telephone | 8019720393 |
| Mailing Fax Number | 8019725707 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHANE LEON ARNOLD (AGENT) |
| Authorized Official Telephone | 8019720393 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 55687841202 | UT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 529792876001 | 05 |
| Other Name | Type Code |
|---|---|
| Chiropractic Health and Rehab | Former Legal Business Name - Organization |
| Street Address |
1264 VILLAGE MAIN DR SUITE A |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84119-3396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376908723 | Synergy Chiropractic Pllc | Chiropractor | 2101 W 3500 S, West Valley City, UT 84119-3441 | 2015-12-29 |
| 1760850325 | Quinten Madsen | Chiropractor | 3800 W 3500 S, West Valley City, UT 84120-3306 | 2015-09-11 |
| 1437593530 | Jeffrey Steven Knight | Chiropractor | 2222 W 3500 S Ste B1, West Valley City, UT 84119-3417 | 2013-04-19 |
| 1316126741 | Michael Ron Frogley | Chiropractor | 1264 Village Main Dr Unit A, West Valley City, UT 84119-1952 | 2007-11-01 |
| 1134333669 | Peterson Chiropractic | Chiropractor | 1878 W. 3600 S., West Valley City, UT 84119-3893 | 2007-05-10 |
| 1578615761 | Edward F. Smith | Chiropractor | 2196 W 3500 S, Suite C-7, West Valley City, UT 84119-3463 | 2007-01-17 |
| 1871670232 | Raymond Rattana Hour | Chiropractor | 3534 S Redwood Rd, West Valley City, UT 84119-3819 | 2006-11-01 |
| 1982704367 | Monson Chiropractic PC | Chiropractor | 3378 W. 3500 S., West Valley City, UT 84119-2630 | 2006-09-25 |
| 1790717817 | Bradley R Peterson | Chiropractor | 1878 W 3600 S, West Valley City, UT 84119-3893 | 2006-07-07 |
| 1508822917 | Mark Allen Snow | Chiropractor | 3536 S 5600 W, West Valley City, UT 84120-2788 | 2006-04-25 |
| Find all providers in WEST VALLEY CITY | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.