Provider Demographics
NPI:1326241167
Name:OHANA CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:OHANA CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:KEPO'O
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-798-2781
Mailing Address - Street 1:1362 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-2312
Mailing Address - Country:US
Mailing Address - Phone:801-798-2781
Mailing Address - Fax:801-798-2784
Practice Address - Street 1:1362 E CENTER ST
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-2312
Practice Address - Country:US
Practice Address - Phone:801-798-2781
Practice Address - Fax:801-798-2784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT64396091202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty