Provider Demographics
NPI:1013432814
Name:CADENCE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:CADENCE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-642-4199
Mailing Address - Street 1:456 E STATE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2589
Mailing Address - Country:US
Mailing Address - Phone:801-642-4199
Mailing Address - Fax:801-642-4199
Practice Address - Street 1:456 E STATE RD STE 500
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2589
Practice Address - Country:US
Practice Address - Phone:801-642-4199
Practice Address - Fax:801-642-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10340939-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty