DRUSSEL CHIROPRACTIC AND REHABILITATION, LLC (NPI# 1548428576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548428576 |
| Entity Type | Organization |
| Organization Name | DRUSSEL CHIROPRACTIC AND REHABILITATION, LLC |
| Practice Address |
777 N 500 W Ste 205 Provo UT 84601-1541 |
| Practice Telephone | 8013752420 |
| Practice Fax Number | 8013748588 |
| Mailing Telephone | 8013752420 |
| Mailing Fax Number | 8013748588 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | DR. DUSTIN K DRUSSEL (MANAGER) |
| Authorized Official Telephone | 8013752420 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 68564891202 | UT | Chiropractic Providers |
| Street Address |
777 N 500 W STE 205 |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699746529 | Jeffrey A Youngquist | Dentist | 777 N 500 W, Suite #201-a, Provo, UT 84601-1541 | 2006-01-30 |
| 1205288586 | Lyndi Jenson | Dentist | 777 N 500 W, Provo, UT 84601-1541 | 2016-07-11 |
| 1922474956 | Rock Canyon Dentistry | Dentist | 777 N 500 W, #105, Provo, UT 84601-1541 | 2015-08-13 |
| 1700295227 | All Around Dental Care, Lc | Dentist | 777 N 500 W, Ste 106, Provo, UT 84601-1541 | 2014-08-08 |
| 1164846044 | Kyle Kone | Marriage & Family Therapist | 777 N 500 W, #104, Provo, UT 84601-1541 | 2014-02-12 |
| 1063833721 | Life Integrative Health Center | Clinic/Center | 777 N 500 W, Suite 104, Provo, UT 84601-1541 | 2013-12-26 |
| 1376985721 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 777 N 500 W, Suite 203, Provo, UT 84601 | 2013-07-26 |
| 1306186952 | Edison Stanford Hearing Aid Center | Hearing Aid Equipment | 777 N 500 W, Suite 005, Provo, UT 84601-1541 | 2013-02-19 |
| 1861755571 | Devin Lynn Davidson | Dentist | 777 N 500 W, Suite 106, Provo, UT 84601-1541 | 2012-06-18 |
| 1932473188 | All Around Dental Care | Dentist | 777 N 500 W, 106, Provo, UT 84601-1541 | 2012-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487145934 | Tyler Gagon | Chiropractor | 1564 N 1250 W, Provo, UT 84604-2357 | 2018-05-21 |
| 1790276251 | Steve A Baker Inc | Chiropractor | 2255 N University Pkwy Ste 20, Provo, UT 84604-7513 | 2018-05-21 |
| 1154857787 | Totalcare | Chiropractor | 1700 N State St Ste 16, Provo, UT 84604-1008 | 2017-05-02 |
| 1669872313 | Eric Henry Walker | Chiropractor | 2230 N University Pkwy Ste 6b, Provo, UT 84604-1584 | 2014-08-31 |
| 1073742888 | Balance Point Clinics, Inc. | Chiropractor | 696 N 1890 W, Suite 43-a, Provo, UT 84601-1327 | 2009-07-14 |
| 1417089681 | Cascade Spinal Rehab Center LLC | Chiropractor | 75 S 200 E, Ste 201, Provo, UT 84606-3146 | 2007-03-12 |
| 1114082872 | Jerry S Clark | Chiropractor | 3325 N University Ave Ste 125, Provo, UT 84604-6615 | 2006-12-23 |
| 1851480362 | Marc Vincent Bowers | Chiropractor | 777 N 500 W Ste 205, Provo, UT 84601-1596 | 2006-10-12 |
| 1700999786 | Michael Alsop | Chiropractor | 1045 S University Ave, Suite 6, Provo, UT 84601-5953 | 2006-08-16 |
| 1528029782 | William Peter Gagliardi | Chiropractor | 37 E Center St Ste 305, Provo, UT 84606-5564 | 2006-03-29 |
| Find all providers in PROVO | ||||
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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.