| Great Basin Spine And Sports | |
|
134 E 4600 S, Washington Terrace, UT 84405-5946 | |
| (801) 627-2023 | |
| Not Available |
| Full Name | Great Basin Spine And Sports |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 134 E 4600 S, Washington Terrace, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639485014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 7617785-1202 (Utah) | Primary |
| Provider Name | Michael G Graves |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932412012 PECOS PAC ID: 6800085515 Enrollment ID: I20110117000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Great Basin Spine And Sports 134 E 4600 S, Washington Terrace, UT 84405-5946 Ph: (801) 627-2023 | Great Basin Spine And Sports 134 E 4600 S, Washington Terrace, UT 84405-5946 Ph: (801) 627-2023 |
Adjust Your Life - Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 146 E 4600 S, Washington Terrace, UT 84405 Phone: 801-627-2023 | |
Dr. Blake Fenton, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 146 E 4600 S, Washington Terrace, UT 84405 Phone: 801-627-2023 Fax: 801-627-2048 | |
Michael Gregory Graves, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 134 E 4600 S, Washington Terrace, UT 84405 Phone: 801-627-2023 |