Provider Demographics
NPI:1336294602
Name:HEALTHQUEST OF TAYLORSVILLE
Entity Type:Organization
Organization Name:HEALTHQUEST OF TAYLORSVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-417-8282
Mailing Address - Street 1:1972 W 5400 S
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84118-1459
Mailing Address - Country:US
Mailing Address - Phone:801-417-8282
Mailing Address - Fax:801-417-8383
Practice Address - Street 1:1972 W 5400 S
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84118-1459
Practice Address - Country:US
Practice Address - Phone:801-417-8282
Practice Address - Fax:801-417-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty