National Provider Identifier Database

PAYSON SPORTS SPINE LLC
Chiropractor

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.


Contact Information

PAYSON SPORTS & SPINE LLC
871 SOUTH 500 WEST
PAYSON, UT84651
Phone: 801-465-2672
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Nurse Practitioner 363L00000X
Physical Therapist 225100000X

* Indicates primary specialty

NPI Profile & details for PAYSON SPORTS & SPINE LLC

NPI Number 1205261807
Legal business name
LBN
PAYSON SPORTS & SPINE LLC
Authorized official LYNN ADAMS - (P.T.)
Entity Organization
Organization subpart No
Enumeration date 09/13/2013
Last updated 08/31/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • UT Medicaid: PRA04380

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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