Provider Demographics
NPI:1336351444
Name:HARBRECHT, CHRIS JARED (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:JARED
Last Name:HARBRECHT
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 1:6717 S 900 E
Mailing Address - Street 2:STE 101
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-5755
Mailing Address - Country:US
Mailing Address - Phone:801-432-7511
Mailing Address - Fax:801-432-7516
Practice Address - Street 1:9035 S 1300 E
Practice Address - Street 2:STE 1
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-3132
Practice Address - Country:US
Practice Address - Phone:801-569-8787
Practice Address - Fax:801-569-0376
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6075804-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT534647011005Medicaid
UT350011548OtherRAIL ROAD RETIREMENT
UT4550443OtherAETNA
UT4550443OtherAETNA