| Chiropractic Place Llc | |
|
6717 S 900 E, Suite 101, Midvale, UT 84047-5754 | |
| (801) 432-7511 | |
| (801) 432-7516 |
| Full Name | Chiropractic Place Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6717 S 900 E, Midvale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619078748 | NPI | - | NPPES |
| 8703955551005 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 335099-1202 (Utah) | Primary |
| Provider Name | Chris Jared Harbrecht |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336351444 PECOS PAC ID: 2769559129 Enrollment ID: I20080926000299 |
| Provider Name | Monte J Layton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598773863 PECOS PAC ID: 3577450311 Enrollment ID: I20101122001411 |
| Provider Name | Hope Brock |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144949322 PECOS PAC ID: 4183009822 Enrollment ID: I20220916002140 |
| Provider Name | Lillian Nicole Fackrell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801652367 PECOS PAC ID: 1557801867 Enrollment ID: I20240912002014 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Place Llc 6717 S 900 E, Suite 101, Midvale, UT 84047-5754 Ph: (801) 432-7511 | Chiropractic Place Llc 6717 S 900 E, Suite 101, Midvale, UT 84047-5754 Ph: (801) 432-7511 |
Campbell Injury Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 115 E 7200 S, Midvale, UT 84047 Phone: 801-448-1895 Fax: 801-566-4476 | |
Craig D Campbell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 115 Fort Union Blvd, Midvale, UT 84047 Phone: 801-566-4357 Fax: 801-566-4476 | |
Jordan Mousley, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 6717 S 900 E Ste 101, Midvale, UT 84047 Phone: 801-432-7511 Fax: 801-432-7516 | |
Jack Scott Tripp, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 30 W 7200 S, Midvale, UT 84047 Phone: 801-707-9537 | |
Sports Chiropractic Of Utah Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 6717 S 900 E Ste 101, Midvale, UT 84047 Phone: 406-381-7577 | |
Benjamin Jordan Semadeni, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6717 S 900 E Ste 101, Midvale, UT 84047 Phone: 307-248-8347 | |
Dr. Eric Lee Cheney, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 44 W 7200 S, Ste. B, Midvale, UT 84047 Phone: 801-259-3308 |