Healthcare Provider Details

I. General information

NPI: 1982918033
Provider Name (Legal Business Name): OAKWOOD CHIROPRACTIC OFFICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2010
Last Update Date: 07/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7086 HIGHLAND DR SUITE 50
COTTONWOOD HEIGHTS UT
84121-3766
US

IV. Provider business mailing address

7086 HIGHLAND DR SUITE 50
COTTONWOOD HEIGHTS UT
84121-3766
US

V. Phone/Fax

Practice location:
  • Phone: 801-943-3355
  • Fax:
Mailing address:
  • Phone: 801-943-3355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number262577-1202
License Number StateUT

VIII. Authorized Official

Name: DR. STUART JOHN YEAGER
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 801-943-3355