Provider Demographics
NPI:1437126372
Name:ALLEN, STEPHANIE J (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:J
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:ALLEN
Other - Last Name:MUELLER-PLANITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1781 W 9000 S
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-6502
Mailing Address - Country:US
Mailing Address - Phone:801-562-5600
Mailing Address - Fax:801-255-7104
Practice Address - Street 1:1781 W 9000 S
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-6502
Practice Address - Country:US
Practice Address - Phone:801-562-5600
Practice Address - Fax:801-255-7104
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT357290-1202111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU61674Medicare UPIN
UT005808701Medicare PIN