Healthcare Provider Details
I. General information
NPI: 1497662340
Provider Name (Legal Business Name): MARSHBUZZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1573 W 9000 S
WEST JORDAN UT
84088-9219
US
IV. Provider business mailing address
1573 W 9000 S
WEST JORDAN UT
84088-9219
US
V. Phone/Fax
- Phone: 801-981-2225
- Fax:
- Phone: 801-981-2225
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARSHALL
BUZZ
HULL
Title or Position: OWNER
Credential: DOC
Phone: 419-852-0172