Provider Demographics
NPI:1982218442
Name:DRANEY CHIROPRACTIC
Entity Type:Organization
Organization Name:DRANEY CHIROPRACTIC
Other - Org Name:UTAH SPINE & ACCIDENT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:CASOS
Authorized Official - Last Name:DRANEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-509-4695
Mailing Address - Street 1:7613 S JORDAN LANDING BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84084-1973
Mailing Address - Country:US
Mailing Address - Phone:801-280-2548
Mailing Address - Fax:801-280-2658
Practice Address - Street 1:7613 S JORDAN LANDING BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84084-1973
Practice Address - Country:US
Practice Address - Phone:801-280-2548
Practice Address - Fax:801-280-2658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1063512580Medicaid