Healthcare Provider Details

I. General information

NPI: 1356255996
Provider Name (Legal Business Name): RENNIE FAMILY CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N MAIN ST
SPANISH FORK UT
84660-1726
US

IV. Provider business mailing address

181 E 560 N
SALEM UT
84653-5711
US

V. Phone/Fax

Practice location:
  • Phone: 385-257-3857
  • Fax:
Mailing address:
  • Phone: 508-375-5130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CAMERON S RENNIE
Title or Position: OWNER
Credential: D.C.
Phone: 508-375-5130