Healthcare Provider Details

I. General information

NPI: 1134417900
Provider Name (Legal Business Name): DR. SONNY TUFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2011
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 E 1100 S
HYRUM UT
84319-1686
US

IV. Provider business mailing address

668 E 1100 S
HYRUM UT
84319-1686
US

V. Phone/Fax

Practice location:
  • Phone: 435-890-7233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7266937-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: