Doctor Name: | JENNIFER BECK-SCHMIDT |
NPI Number: | 1073594438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 368796 1202 |
Business Practice Address: | 3760 Saddleback Rd Park City, UT - 840984800 |
Business Phone Number: | 8015601581 |
Business Fax Number: | |
Mailing Address: | 6546 North Landmark Drive, Ste E PARK CITY |
State: | UT |
Postal Code: | 84098 |
Phone Number: | 8015601581 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 02/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 368796 1202 |
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. |