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Contact Information

SPENCER C GARDNER, D.C, ATC.
5204 S REDWOOD RD STE C3
TAYLORSVILLE, UT84123-4275
 Phone: 801-580-3345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for SPENCER C GARDNER · (Male)

NPI # 1407392624
Status Active
Credentials D.C, ATC.
Entity Individual
Enumeration date 01/11/2017
Last updated 03/03/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 7733054-1202
  • UT License # 7733054-4810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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