PACK CHIROPRACTIC CLINIC, INC (NPI# 1659641827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659641827 |
Entity Type | Organization |
Organization Name | PACK CHIROPRACTIC CLINIC, INC |
Practice Address |
2565 Tyler Ave Ogden UT 84401-2818 |
Practice Telephone | 8012459010 |
Mailing Telephone | 8012459010 |
Enumeration Date | 2012-01-05 |
Last Update Date | 2017-02-08 |
Authorized Official Name | DAVID PACK (PRESIDENT) |
Authorized Official Telephone | 8012459010 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
1305 | OH | Chiropractic Providers |
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1305 | OH | Chiropractic Providers |
Street Address |
2565 TYLER AVE |
City | OGDEN |
State | UT |
Zip Code | 84401-2818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
Find all providers in zip 84401 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144844523 | Richard Mason Stewart IIi | Chiropractor | 12371 S 900 E Ste 101, Draper, UT 84020-9834 | 2020-06-02 |
1356820609 | Jared Wadsworth | Chiropractor | 2230 N University Pkwy #6b, Provo, UT 84604-8460 | 2018-08-08 |
1124517982 | Aspen Summit Chiropractic and Wellness | Chiropractor | 726 South 1600 West Suite 101, Mapleton, UT 84664 | 2018-05-08 |
1558875930 | Garrett Dean Barfoot | Chiropractor | 2080 Gold Dust Ln Ste 1, Park City, UT 84060-7294 | 2017-11-21 |
1396159885 | Tyler Leroy Nelson | Chiropractor | 1951 W 4700 S Ste 2, Taylorsville, UT 84129-1108 | 2014-06-12 |
1922347137 | James Garrett Eagar | Chiropractor | 510 E 770 N, Orem, UT 84097-4101 | 2013-02-07 |
1932430782 | Russell D. Jepson | Chiropractor | 301 N 200 E Ste 2a, St George, UT 84770-3040 | 2010-01-19 |
1689813446 | Elite Performance Health Center, PC | Chiropractor | 3630 W South Jordan Parkway, Suite 102, South Jordan, UT 84095-7153 | 2009-02-18 |
1003055534 | Brigham Lundahl | Chiropractor | 358 W Saint George Blvd, St George, UT 84770-3352 | 2009-02-06 |
1770757569 | Matthew David Smith | Chiropractor | 13552 S 110 W, Ste 204, Draper, UT 84020-2403 | 2008-04-14 |
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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.