Provider Demographics
NPI:1942236930
Name:ZARIT, MATTHEW IAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:IAN
Last Name:ZARIT
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 1:1901 PROSPECTOR AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84060-7208
Mailing Address - Country:US
Mailing Address - Phone:435-655-8181
Mailing Address - Fax:435-649-4346
Practice Address - Street 1:1901 PROSPECTOR AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84060-7207
Practice Address - Country:US
Practice Address - Phone:435-655-8181
Practice Address - Fax:435-649-4346
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT369436-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor