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General NPI Number Information
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NPI Number | 1275021784
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Entity Type | Organization
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Legal Business Name | AXIS CHIROPRACTIC & MASSAGE CLINIC, LLC
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1681 W 3860 S STE 106
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-6274
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Country | US
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Telephone | 801-997-0280
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Fax |
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Provider Business Mailing Address
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Address Line | 1681 W 3860 S STE 106
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-6274
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Country | US
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Telephone | 801-808-9525
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Fax |
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Authorized Official
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Title or Position | BUSINESS DIRECTOR
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Name | ANNELYN SANCHEZ
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Credential |
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Telephone | 801-347-5374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 9806097
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License Number State | UT
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