Healthcare Provider Details

I. General information

NPI: 1821904996
Provider Name (Legal Business Name): STRAIGHT UP CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 S SILICON WAY STE 3A
ST GEORGE UT
84770-7154
US

IV. Provider business mailing address

929 W SUNSET BLVD # 21-228
ST GEORGE UT
84770-4865
US

V. Phone/Fax

Practice location:
  • Phone: 435-429-1242
  • Fax:
Mailing address:
  • Phone: 435-429-1242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GAVIN BRADLEY HALL
Title or Position: OWNER
Credential: DC
Phone: 435-272-5420