Provider Demographics
NPI:1598773863
Name:LAYTON, MONTE JAY (DC)
Entity Type:Individual
Prefix:DR
First Name:MONTE
Middle Name:JAY
Last Name:LAYTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:6717 S 900 E
Mailing Address - Street 2:STE 101
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-5755
Mailing Address - Country:US
Mailing Address - Phone:801-268-8051
Mailing Address - Fax:801-268-3030
Practice Address - Street 1:705 E 3900 S
Practice Address - Street 2:# 107
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107
Practice Address - Country:US
Practice Address - Phone:801-268-8051
Practice Address - Fax:801-268-3030
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT335099-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT8703955551005Medicaid
UT8703955551005Medicaid