Provider Demographics
NPI:1770033672
Name:JT LLC
Entity Type:Organization
Organization Name:JT LLC
Other - Org Name:HEALTHOLOGY EXPERTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS DC
Authorized Official - Phone:435-256-2823
Mailing Address - Street 1:1865 S 2740 E
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7110
Mailing Address - Country:US
Mailing Address - Phone:435-256-2823
Mailing Address - Fax:
Practice Address - Street 1:301 N 200 E
Practice Address - Street 2:SUITE 2C
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3010
Practice Address - Country:US
Practice Address - Phone:435-218-7250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6859851-1202111NS0005X
UT7218960-1202111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty