NECK AND BACK RELIEF (NPI# 1548539554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548539554 |
| Entity Type | Organization |
| Organization Name | NECK AND BACK RELIEF |
| Practice Address |
12600 S. 4013 W. Suite E Riverton UT 84096 |
| Practice Telephone | 8018783645 |
| Practice Fax Number | 8018783647 |
| Mailing Telephone | 8018783645 |
| Mailing Fax Number | 8018783647 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | DR. JOHN JOSEPH COLARUSSO (OWNER/CEO) |
| Authorized Official Telephone | 8018783645 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5072634-1202 | UT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | UTAH LICENSE | 5072634-1202 | 01 |
| Street Address |
12600 S. 4013 W. SUITE E |
| City | RIVERTON |
| State | UT |
| Zip Code | 84096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499249 | Abundant Dental Care, P.C. | Dentist | 5089 West 12600 South, Herriman, UT 84096 | 2019-07-19 |
| 1225563703 | Kristen Haslam | Specialist/Technologist, Other | 13947 S Newburg Dr., Herriman, UT 84096 | 2017-04-21 |
| 1770960452 | Tyler Rolland Petersen | Social Worker | 13351 S Shaunna Lane, Herriman, UT 84096 | 2015-05-01 |
| 1649687948 | Victor Clark | Assisted Living Facility | 6352 W 13100 S, Herriman, UT 84096 | 2014-07-18 |
| 1114220092 | Sharlene Christensen | Counselor | 13878 S. Ken Cv, Herriman, UT 84096 | 2010-12-14 |
| 1518156991 | Jon Christian Fairbanks | Dentist | 5532 W. Herriman Main Street, #210, Herriman, UT 84096 | 2007-10-22 |
| 1215154232 | Karen Jane Olson | Nurse Practitioner | 13400 S. 5746 W #200, Herriman, UT 84096 | 2007-04-19 |
| 1619022969 | Jeffrey T Lambert | Dentist | 5532 W. Herriman Main St., #210, Herriman, UT 84096 | 2007-01-25 |
| 1578638854 | Stevenson Pediatric Dentistry P.C. | Dentist | 4019 W. 12600 S., Suite 200, Riverton, UT 84096 | 2006-11-21 |
| 1730278946 | Rebecca Mostatab | Dentist | 4531 W Partridgehill Lane, Suite F-110, Riverton, UT 84096 | 2006-10-12 |
| Find all providers in zip 84096 | ||||
| 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 |
|---|---|---|---|---|
| 1699384859 | Walter Conard | Chiropractor | 709 E Fremont Ave, Riverton, WY 82501-4420 | 2020-07-23 |
| 1730707043 | Brennan Fife Bushman | Chiropractor | 2464 W 12600 S Ste 100, Riverton, UT 84065-7274 | 2020-07-13 |
| 1417508854 | Grace V Robertson | Chiropractor | 6524 Se Quakerville Rd, Riverton, KS 66770 | 2019-09-26 |
| 1366972192 | Stokes Chiropractic LLC | Chiropractor | 2332 W 12600 S Ste 2a, Riverton, UT 84065-7173 | 2017-06-14 |
| 1518396787 | Val I. Palmer | Chiropractor | 2464 W. 12600 S., Suite 110, Riverton, UT 84065 | 2013-11-07 |
| 1407168867 | Russell D Terry | Chiropractor | 3898 Innovation Dr, Ste B, Riverton, UT 84065-6037 | 2010-07-13 |
| 1275864746 | Jeffrey Simon Jensen | Chiropractor | 2464 W 12600 S, Suite 110, Riverton, UT 84065-7274 | 2010-01-23 |
| 1689805038 | Keith C. Robbins | Chiropractor | 3898 W 13400 S, Suite B, Riverton, UT 84065-6037 | 2009-08-03 |
| 1639350341 | Colarusso Family Chiropractic, PC | Chiropractor | 12571 S. Pasture Road, Suite E, Riverton, UT 84096-7037 | 2007-11-21 |
| 1194917898 | Stanley Glenn Larson | Chiropractor | 3898 W. 13400 So., Suite B., Riverton, UT 84065-6038 | 2007-08-16 |
| Find all providers in RIVERTON | ||||
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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.