Healthcare Provider Details

I. General information

NPI: 1265063150
Provider Name (Legal Business Name): JOSHUA TYLER ADAMS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8777 S REDWOOD RD STE 250
WEST JORDAN UT
84088-9101
US

IV. Provider business mailing address

8777 S REDWOOD RD STE 250
WEST JORDAN UT
84088-9101
US

V. Phone/Fax

Practice location:
  • Phone: 801-251-6498
  • Fax:
Mailing address:
  • Phone: 801-251-6498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11538829-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: