Healthcare Provider Details

I. General information

NPI: 1306740352
Provider Name (Legal Business Name): THE SHOCK DOC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 W STATE RD
PLEASANT GROVE UT
84062-2111
US

IV. Provider business mailing address

559 W STATE RD
PLEASANT GROVE UT
84062-2111
US

V. Phone/Fax

Practice location:
  • Phone: 801-922-4310
  • Fax: 801-701-8850
Mailing address:
  • Phone: 801-922-4310
  • Fax: 801-701-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JACOB KNAPTON
Title or Position: CHIROPRACTOR, OWNER
Credential: DC
Phone: 801-440-1499