Skyline Sports and Human Performance LLC

NPI #1861755738 in Ephraim, Utah

Provider Information

NPI Number: 1861755738
Entity Type: Organization
Organization Name: Skyline Sports and Human Performance LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 16, 2012
Last Updated: Jun 16, 2012

Practice Location

Address: 320 S 50 W
City: Ephraim
State: Utah
ZIP Code: 84627-4023
Phone: (435) 592-2043

Authorized Official

Name: DR. GREG M BOSSHARDT, DC
Title: OWNER
Phone: (435) 592-2043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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