Provider Demographics
NPI:1225789738
Name:LADNIER, SIERRA TRINITY (DC)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:TRINITY
Last Name:LADNIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 W SPRING CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:UT
Mailing Address - Zip Code:84332-9755
Mailing Address - Country:US
Mailing Address - Phone:573-275-5736
Mailing Address - Fax:
Practice Address - Street 1:366 W SPRING CREEK PKWY
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:UT
Practice Address - Zip Code:84332-9755
Practice Address - Country:US
Practice Address - Phone:573-275-5736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-16
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT126299081202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor