MILLCREEK CHIROPRACTIC LLC (NPI# 1447443973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447443973 |
| Entity Type | Organization |
| Organization Name | MILLCREEK CHIROPRACTIC LLC |
| Practice Address |
4700 S 900 E Ste 41g Salt Lake City UT 84117-4938 |
| Practice Telephone | 8017472886 |
| Practice Fax Number | 8017163532 |
| Mailing Telephone | 8017472447 |
| Mailing Fax Number | 8017163532 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | DR. THOMAS E GRANT JR. (OWNER MANAGER) |
| Authorized Official Telephone | 8014742447 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST MILLCREEK CHIROPRACTIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
6715760-1202 | UT | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
6715760-1202 | UT | Chiropractic Providers |
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
6715760-1202 | UT | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 6715760-1202 | UT | Chiropractic Providers |
| Street Address |
4700 S 900 E STE 41G |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669611661 | Utah Injury Clinic, LLC | Clinic/Center | 4700 S 900 E Ste 41g, Salt Lake City, UT 84117-4938 | 2009-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| 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 |
|---|---|---|---|---|
| 1275098394 | Lindsay Kopp | Chiropractor | 1939 S 1100 E, Salt Lake City, UT 84106-3580 | 2019-02-02 |
| 1740744101 | Drd Enterprises, LLC | Chiropractor | 7186 S Highland Dr Ste 150, Salt Lake City, UT 84121-7324 | 2019-01-29 |
| 1093289795 | Matthew Kory Jackson | Chiropractor | 515 E 4500 S Ste G230, Salt Lake City, UT 84107-4510 | 2019-01-15 |
| 1386159663 | Mikel Roy | Chiropractor | 1860 S 300 W Ste B, Salt Lake City, UT 84115-2198 | 2017-12-07 |
| 1508302225 | Scott Graziosa | Chiropractor | 3160 E Coronet Dr, Salt Lake City, UT 84124-3107 | 2017-01-19 |
| 1245642966 | Yasa LLC | Chiropractor | 5882 S 900 E Ste 100, Salt Lake City, UT 84121-1684 | 2014-05-29 |
| 1962814392 | John Corbaley | Chiropractor | 370 E South Temple Ste 100, Salt Lake City, UT 84111-1240 | 2014-05-20 |
| 1790022382 | Bradley Alan Anderson | Chiropractor | 3980 S 700 E Ste 23, Salt Lake City, UT 84107-2530 | 2013-01-15 |
| 1316291966 | Mark Frogley | Chiropractor | 1264 W Village Main Dr, Suite A, Salt Lake City, UT 84119-3396 | 2012-11-05 |
| 1548513088 | Taylor Robert Krick | Chiropractor | 1860 S 300 W, Suite B, Salt Lake City, UT 84115-2085 | 2012-10-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
Please comment or provide details below to improve the information on MILLCREEK CHIROPRACTIC LLC.
| 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.