SPINE AND MUSCULAR REHABILITATION CHIROPRACTIC PLLC (NPI# 1073805289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073805289 |
| Entity Type | Organization |
| Organization Name | SPINE AND MUSCULAR REHABILITATION CHIROPRACTIC PLLC |
| Practice Address |
1634 N Main St North Logan UT 84341-1920 |
| Mailing Address |
60 N Center St Po Box 335 Wellsville UT 84339-9412 |
| Practice Telephone | 2083518329 |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |
| Authorized Official Name | DR. TRENTON STEVENS (OWNER) |
| Authorized Official Telephone | 2083518329 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
7975292-1202 | UT | Ambulatory Health Care Facilities |
| Street Address |
1634 N MAIN ST |
| City | NORTH LOGAN |
| State | UT |
| Zip Code | 84341-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1639718091 | Anchor Spinal Rehab - Orem | Clinic/Center | 865 N 900 W, Orem, UT 84057-7701 | 2020-01-03 |
| 1952955296 | Roots and Raices Functional Medicine Inc. | Clinic/Center | 1452 E Ridgeline Dr Ste 5, South Ogden, UT 84405-4949 | 2019-07-25 |
| 1124685508 | Comprehensive Chiropractic and Recovery | Clinic/Center | 1684 W Reunion Ave Ste 100, South Jordan, UT 84095-4609 | 2019-05-21 |
| 1770050684 | Bedrock Health Center, Pllc | Clinic/Center | 347 N 300 W Ste 203, Kaysville, UT 84037-1828 | 2018-10-29 |
| 1992170443 | Usu Student Health & Wellness | Clinic/Center | 9100 Old Main Hl, Logan, UT 84322-9100 | 2015-12-09 |
| 1548630908 | Smart Medical, LLC | Clinic/Center | 6337 S Highland Dr, Ste 110, Salt Lake City, UT 84121-2107 | 2015-09-29 |
| 1639557846 | Flow Acupuncture & Apothecary | Clinic/Center | 1390 S 1100 E Ste 110, Salt Lake City, UT 84105-2463 | 2015-05-08 |
| 1447400114 | High Five Chiropractic | Clinic/Center | 456 State Road 198, Salem, UT 84653-9187 | 2008-09-30 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LOGAN |
| Zip Code | 84341 |
Please comment or provide details below to improve the information on SPINE AND MUSCULAR REHABILITATION CHIROPRACTIC PLLC.
| 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.