Healthcare Provider Details

I. General information

NPI: 1851810394
Provider Name (Legal Business Name): DAVID T HAKANSON DC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3518 W SOJO DR # 210-06
SOUTH JORDAN UT
84095-1212
US

IV. Provider business mailing address

10459 S SAGE VISTA WAY
SOUTH JORDAN UT
84009-3955
US

V. Phone/Fax

Practice location:
  • Phone: 636-432-8771
  • Fax:
Mailing address:
  • Phone: 636-432-8771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAVID TODD HAKANSON SR.
Title or Position: OWNER
Credential: DC
Phone: 636-432-8771