Provider Demographics
NPI:1922530955
Name:ADJUSTMENT33
Entity Type:Organization
Organization Name:ADJUSTMENT33
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:CHASE
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:ATC, DC
Authorized Official - Phone:801-580-3345
Mailing Address - Street 1:5204 S REDWOOD RD
Mailing Address - Street 2:STE C3
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84123-4217
Mailing Address - Country:US
Mailing Address - Phone:801-987-0335
Mailing Address - Fax:
Practice Address - Street 1:5204 S REDWOOD RD
Practice Address - Street 2:STE C3
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-4217
Practice Address - Country:US
Practice Address - Phone:801-987-0335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7733054-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty