=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144334707
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID BRENT SESSIONS SR. D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2530 W 4700 S STE B4
-----------------------------------------------------
City | TAYLORSVILLE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84118-1865
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-968-5533
-----------------------------------------------------
Fax | 801-417-5247
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2530 W 4700 S STE B4
-----------------------------------------------------
City | TAYLORSVILLE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84118-1865
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-968-5533
-----------------------------------------------------
Fax | 801-417-5247
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 175790-1202
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------