Healthcare Provider Details

I. General information

NPI: 1972804946
Provider Name (Legal Business Name): PATRICK WAYNE GARCIA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2010
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1098 W. SOUTH JORDAN PARKWAY SUITE #101
SOUTH JORDAN UT
84095-9372
US

IV. Provider business mailing address

1098 W. SOUTH JORDAN PARKWAY SUITE #101
SOUTH JORDAN UT
84095-9372
US

V. Phone/Fax

Practice location:
  • Phone: 801-254-5800
  • Fax: 801-254-1696
Mailing address:
  • Phone: 801-254-5800
  • Fax: 801-254-1696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7058178-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: