Provider Demographics
NPI:1770951139
Name:HEALTH IN MOTION CHIROPRACTIC AND HUMAN PERFORMANCE
Entity type:Organization
Organization Name:HEALTH IN MOTION CHIROPRACTIC AND HUMAN PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-456-0532
Mailing Address - Street 1:3980 S 700 E STE 23
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2530
Mailing Address - Country:US
Mailing Address - Phone:801-456-0352
Mailing Address - Fax:801-456-0351
Practice Address - Street 1:3980 S 700 E STE 23
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2530
Practice Address - Country:US
Practice Address - Phone:801-456-0352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9438385-1202261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center