| Genesis Chiropractic, Inc. | |
|
1200 E 3300 S, Salt Lake City, UT 84106-2522 | |
| (801) 485-2580 | |
| (801) 485-2587 |
| Full Name | Genesis Chiropractic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1200 E 3300 S, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245596097 | NPI | - | NPPES |
| 624033371001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5005891-1202 (Utah) | Primary |
| Provider Name | Tiffani T Fries |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114977105 PECOS PAC ID: 2961502836 Enrollment ID: I20070809000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Chiropractic, Inc. 1200 E 3300 S, Salt Lake City, UT 84106-2522 Ph: (801) 485-2580 | Genesis Chiropractic, Inc. 1200 E 3300 S, Salt Lake City, UT 84106-2522 Ph: (801) 485-2580 |
Generations Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 3424 S 2300 E, Salt Lake City, UT 84109 Phone: 801-486-9201 | |
Green Chiropractic Center, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 265 E 3300 S, Salt Lake City, UT 84115 Phone: 801-485-3322 Fax: 801-485-9682 | |
Gregory Lee Freebairn, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6415 S 3000 E, Ste 250, Salt Lake City, UT 84121 Phone: 801-553-0366 Fax: 801-553-0367 | |
Integrated Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 716 E 4500 S, Ste. N 250, Salt Lake City, UT 84107 Phone: 801-262-8400 Fax: 801-262-5570 | |
Dr. Larry Robert Vance, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4646 Highland Dr, St 101, Salt Lake City, UT 84117 Phone: 801-277-5665 Fax: 801-277-5666 | |
Clinical Solutions, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 175 North Medical Drive East 5th Floor, Salt Lake City, UT 84132 Phone: 435-513-0685 | |
Dr. Tyler Scott Wood, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 525 E 100 S, 420, Salt Lake City, UT 84102 Phone: 801-864-0480 |