Healthcare Provider Details

I. General information

NPI: 1114867629
Provider Name (Legal Business Name): KELSIE LAPIERRE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3384 W 4600 S STE 1
WEST HAVEN UT
84401-9222
US

IV. Provider business mailing address

3384 W 4600 S STE 1
WEST HAVEN UT
84401-9222
US

V. Phone/Fax

Practice location:
  • Phone: 801-731-9899
  • Fax: 801-731-9897
Mailing address:
  • Phone: 801-731-9899
  • Fax: 801-731-9897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number14214125-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: