Provider Demographics
NPI:1689805038
Name:ROBBINS, KEITH C (DC)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:C
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3898 W 13400 S
Mailing Address - Street 2:SUITE B
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065-6037
Mailing Address - Country:US
Mailing Address - Phone:801-608-3232
Mailing Address - Fax:
Practice Address - Street 1:3898 W 13400 S
Practice Address - Street 2:SUITE B
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-6037
Practice Address - Country:US
Practice Address - Phone:801-608-3232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7225838-1202111N00000X, 111NN1001X, 111NP0017X, 111NR0400X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NX0800XChiropractic ProvidersChiropractorOrthopedic