Healthcare Provider Details

I. General information

NPI: 1609701028
Provider Name (Legal Business Name): MICHAEL FELT DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 S MAIN ST
PLEASANT GROVE UT
84062-2631
US

IV. Provider business mailing address

196 S MAIN ST
PLEASANT GROVE UT
84062-2631
US

V. Phone/Fax

Practice location:
  • Phone: 817-908-7852
  • Fax:
Mailing address:
  • Phone: 817-908-7852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number14288145-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: