Healthcare Provider Details

I. General information

NPI: 1033431366
Provider Name (Legal Business Name): RBD &C INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 N 300 W SUITE 6
KAYSVILLE UT
84037-4203
US

IV. Provider business mailing address

447 N 300 W SUITE 6
KAYSVILLE UT
84037-4203
US

V. Phone/Fax

Practice location:
  • Phone: 801-547-6688
  • Fax: 801-547-6757
Mailing address:
  • Phone: 801-547-6688
  • Fax: 801-547-6757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number175863-1202
License Number StateUT

VIII. Authorized Official

Name: DR. DAVID BRYAN THOMSON
Title or Position: OWNER
Credential: DC
Phone: 801-547-6688