Healthcare Provider Details

I. General information

NPI: 1770951139
Provider Name (Legal Business Name): HEALTH IN MOTION CHIROPRACTIC AND HUMAN PERFORMANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2015
Last Update Date: 11/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 S 700 E STE 23
SALT LAKE CITY UT
84107-2530
US

IV. Provider business mailing address

3980 S 700 E STE 23
SALT LAKE CITY UT
84107-2530
US

V. Phone/Fax

Practice location:
  • Phone: 801-456-0352
  • Fax:
Mailing address:
  • Phone: 801-456-0352
  • Fax: 801-456-0351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number9438385-1202
License Number StateUT

VIII. Authorized Official

Name: DR. CAMERON WEEKS
Title or Position: OWNER/CHIROPRACTIC PHYSICIAN
Credential: D.C.
Phone: 801-456-0532