Healthcare Provider Details

I. General information

NPI: 1366081689
Provider Name (Legal Business Name): COLBY DION BRINK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2020
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 E MAIN ST STE F
LEHI UT
84043-2235
US

IV. Provider business mailing address

358 N GRASSLAND DR
LEHI UT
84048-4380
US

V. Phone/Fax

Practice location:
  • Phone: 801-801-0284
  • Fax:
Mailing address:
  • Phone: 801-801-0284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10823857
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: