Healthcare Provider Details

I. General information

NPI: 1932106788
Provider Name (Legal Business Name): JASON D ATKINSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 E 200 N
KAYSVILLE UT
84037-1952
US

IV. Provider business mailing address

73 E 200 N
KAYSVILLE UT
84037-1952
US

V. Phone/Fax

Practice location:
  • Phone: 801-593-8112
  • Fax: 801-593-0768
Mailing address:
  • Phone: 801-593-8112
  • Fax: 801-593-0768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number373666-1202
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number373666-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: