Healthcare Provider Details

I. General information

NPI: 1255241527
Provider Name (Legal Business Name): FOUNDATION CHIROPRACTIC SPANISH FORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1082 N MARKET PLACE DR
SPANISH FORK UT
84660-5669
US

IV. Provider business mailing address

1082 N MARKET PLACE DR
SPANISH FORK UT
84660-5669
US

V. Phone/Fax

Practice location:
  • Phone: 801-226-2606
  • Fax: 801-607-6999
Mailing address:
  • Phone: 801-226-2606
  • Fax: 801-607-6999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEFFRY BROWN
Title or Position: OWNER
Credential: DC
Phone: 801-358-8198