| South Jordan Health And Wellness | |
|
272 N Broadway St, #11, Tooele, UT 84074-2244 | |
| (435) 882-1621 | |
| (435) 882-8267 |
| Full Name | South Jordan Health And Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 272 N Broadway St, Tooele, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700135233 | NPI | - | NPPES |
| 3703781202 | Other | UT | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 370378-1202 (Utah) | Primary |
| Provider Name | Matthew W Peterson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326011891 PECOS PAC ID: 7416035795 Enrollment ID: I20080428000317 |
| Mailing Address | Practice Location Address |
|---|---|
| South Jordan Health And Wellness 272 N Broadway St, #11, Tooele, UT 84074-2244 Ph: (435) 882-1621 | South Jordan Health And Wellness 272 N Broadway St, #11, Tooele, UT 84074-2244 Ph: (435) 882-1621 |
Glenn Hunter Thompson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1244 N Main St, Suite100, Tooele, UT 84074 Phone: 435-833-9200 Fax: 435-833-9223 | |
Dr. John Todd Mcphie, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1244 N Main St, Ste 100, Tooele, UT 84074 Phone: 801-884-9126 | |
Porter Family Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 275 S Main St, Tooele, UT 84074 Phone: 435-833-0977 Fax: 435-833-0978 | |
Health Source Of Tooele Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 352 N Main St, Tooele, UT 84074 Phone: 435-882-7200 Fax: 435-882-1211 | |
Tooele Family Chiropractic, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 134 W 1180 N, Suite #5, Tooele, UT 84074 Phone: 435-882-1621 | |
Headache Relief Specialists Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1244 No Main, Suite 100, Tooele, UT 84074 Phone: 435-843-7555 |