| Elite Performance Health Center, Pc | |
|
3630 W South Jordan Parkway, Suite 102, South Jordan, UT 84095-7153 | |
| (801) 302-0280 | |
| (801) 303-5040 |
| Full Name | Elite Performance Health Center, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 3630 W South Jordan Parkway, South Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689813446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 5188785-1202 (Utah) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | (Utah) | Primary |
| Provider Name | Matthew D Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770757569 PECOS PAC ID: 0244144525 Enrollment ID: I20031119000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Performance Health Center, Pc 3630 W South Jordan Parkway, Suite 102, South Jordan, UT 84095-7153 Ph: (801) 302-0280 | Elite Performance Health Center, Pc 3630 W South Jordan Parkway, Suite 102, South Jordan, UT 84095-7153 Ph: (801) 302-0280 |
Nicholas Takis, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 10459 South 1300 West, Suite 203, South Jordan, UT 84095 Phone: 385-308-8169 | |
Dr. Janson William Kemp, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 968 W South Jordan Pkwy, Ste B, South Jordan, UT 84095 Phone: 801-302-1362 | |
Dr. Donald Robert Miller, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 10459 South 1300 West, Suite 203, South Jordan, UT 84095 Phone: 385-308-8169 | |
J Brinton Andersen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10965 S River Front Pkwy, South Jordan, UT 84095 Phone: 801-380-4234 | |
Frogley Health And Wellness Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10382 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-816-0332 | |
Dr. Joseph Ross Stockwell, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10714 S Jordan Gtwy, Suite # 220, South Jordan, UT 84095 Phone: 801-523-1890 Fax: 801-523-1495 | |
Eric J Berube, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10456 S Redwood Rd, South Jordan, UT 84095 Phone: 801-446-5100 |