Healthcare Provider Details

I. General information

NPI: 1205777398
Provider Name (Legal Business Name): GENTLE ROOTS CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 WASHINGTON BLVD STE 221
OGDEN UT
84401-4055
US

IV. Provider business mailing address

850 E 1400 S APT C102
CLEARFIELD UT
84015-2656
US

V. Phone/Fax

Practice location:
  • Phone: 707-575-0750
  • Fax:
Mailing address:
  • Phone: 707-575-0750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ELENA DEVANEY MORRIS
Title or Position: OWNER
Credential: D.C.
Phone: 707-575-0750