MEDICARE: TREVOR LOWRY CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	6263125-1202	UT

General Provider Information

NPI Number	:	1578642583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREVOR LOWRY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1104 ASHTON AVE
Second Line	:	STE. 203
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-4504
Country	:	US
Telephone Number	:	801-521-0471
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 ASHTON AVE
Second Line	:	STE. 203
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-4504
Country	:	US
Telephone Number	:	801-521-0471
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TREVOR ALLAN LOWRY
Credential	:	D.C.
Telephone Number	:	801-521-0471

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	08/22/2020

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