| Live Well Chiropractic , P.c. | |
|
3384 W 4600 S Ste 1, West Haven, UT 84401-9222 | |
| (801) 731-9899 | |
| (801) 731-9897 |
| Full Name | Live Well Chiropractic , P.c. |
|---|---|
| Type | Facility |
| Speciality | Clinic/center |
| Location | 3384 W 4600 S Ste 1, West Haven, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730335225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Richard P Amon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265407282 PECOS PAC ID: 0749211886 Enrollment ID: I20101101001616 |
| Provider Name | Brian W Tolman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013953363 PECOS PAC ID: 5193757953 Enrollment ID: I20120905000116 |
| Provider Name | Michael Earley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881945921 PECOS PAC ID: 3375767775 Enrollment ID: I20140605001609 |
| Provider Name | Ryan L Westbroek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144608050 PECOS PAC ID: 1658685359 Enrollment ID: I20150807014137 |
| Provider Name | Tyson Stromberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629782065 PECOS PAC ID: 9436517760 Enrollment ID: I20230620000869 |
| Provider Name | Sierra Anne Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104282938 PECOS PAC ID: 5597112532 Enrollment ID: I20231113001372 |
| Provider Name | Maline Johanna Cropper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043990989 PECOS PAC ID: 7719321546 Enrollment ID: I20240220001483 |
| Provider Name | Jessica Marie Muhlestein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881435204 PECOS PAC ID: 2860939659 Enrollment ID: I20240729004044 |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Chiropractic , P.c. 3384 W 4600 S Ste 1, West Haven, UT 84401-9222 Ph: (801) 731-9899 | Live Well Chiropractic , P.c. 3384 W 4600 S Ste 1, West Haven, UT 84401-9222 Ph: (801) 731-9899 |