Provider Demographics
NPI:1659687481
Name:FAMILY FIRST CHIROPRACTIC & WELLNESS CENTER
Entity Type:Organization
Organization Name:FAMILY FIRST CHIROPRACTIC & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STITCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-281-1688
Mailing Address - Street 1:495 E 4500 S
Mailing Address - Street 2:#202
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2766
Mailing Address - Country:US
Mailing Address - Phone:801-281-1688
Mailing Address - Fax:801-281-5544
Practice Address - Street 1:495 E 4500 S
Practice Address - Street 2:#202
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-2766
Practice Address - Country:US
Practice Address - Phone:801-281-1688
Practice Address - Fax:801-281-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT55704441202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty