Organization Name: | DIRK S WOODMANSEE DC PC |
NPI Number: | 1013052380 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIRK S. WOODMANSEE (OWNER PRESIDENT) |
Mailing Address: | 2618 W 7800 S Ste 200 West Jordan |
State: | UT US |
Postal Code: | 840884213 |
Phone Number: | 8015621531 |
Fax Number: | 8015621534 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 973507121202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |