Healthcare Provider Details

I. General information

NPI: 1437078664
Provider Name (Legal Business Name): CADE JEX STUCKY BS, DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 N 800 E
HYRUM UT
84319-1150
US

IV. Provider business mailing address

130 N 800 E
HYRUM UT
84319-1150
US

V. Phone/Fax

Practice location:
  • Phone: 435-245-3500
  • Fax: 435-755-2913
Mailing address:
  • Phone: 435-245-3500
  • Fax: 435-755-2913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number14296635-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: