Healthcare Provider Details

I. General information

NPI: 1215410212
Provider Name (Legal Business Name): ZACHARY TODD MANWARING DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2018
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N 700 W
HYDE PARK UT
84318-4076
US

IV. Provider business mailing address

245 N 700 W
HYDE PARK UT
84318-4076
US

V. Phone/Fax

Practice location:
  • Phone: 435-563-4141
  • Fax: 435-563-0293
Mailing address:
  • Phone: 435-563-4141
  • Fax: 435-563-0293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10976165-1202
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number10976165-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: