Cascade Spinal Rehab Center LLC

NPI #1417089681 in Provo, Utah

Provider Information

NPI Number: 1417089681
Entity Type: Organization
Organization Name: Cascade Spinal Rehab Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Mar 12, 2007
Last Updated: Sep 4, 2013

Practice Location

Address: 75 S 200 E
Address 2: STE 201
City: Provo
State: Utah
ZIP Code: 84606-3146
Phone: (801) 235-9977

Authorized Official

Name: RONALD AUTHUR BEUTLER, DC
Title: OWNER
Phone: (801) 235-9977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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