Provider Demographics
NPI:1841411238
Name:ABSOLUTE HEALTH CHIROPRACTIC & NUTRITION CENTER
Entity type:Organization
Organization Name:ABSOLUTE HEALTH CHIROPRACTIC & NUTRITION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-221-1151
Mailing Address - Street 1:193 E 860 S
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-5012
Mailing Address - Country:US
Mailing Address - Phone:801-221-1151
Mailing Address - Fax:801-221-1181
Practice Address - Street 1:193 E 860 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-5012
Practice Address - Country:US
Practice Address - Phone:801-221-1151
Practice Address - Fax:801-221-1181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3642141202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty