Provider Demographics
NPI:1003612573
Name:WORKMAN, MICHAEL ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANDREW
Last Name:WORKMAN
Suffix:
Gender:
Credentials:DC
Other - Prefix:DR
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:WORKMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:757 S RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-8252
Mailing Address - Country:US
Mailing Address - Phone:435-704-2288
Mailing Address - Fax:
Practice Address - Street 1:757 S RIDGE RD
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-8252
Practice Address - Country:US
Practice Address - Phone:435-704-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14197669-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor