MEDICARE: HARPER ROCKY MOUNTAIN CHIROPRACTIC, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	349190-1202	UT

General Provider Information

NPI Number	:	1265604219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARPER ROCKY MOUNTAIN CHIROPRACTIC, PC

Provider Business Mailing Address
First Line	:	2363 N HILL FIELD RD STE 7
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84041-6958
Country	:	US
Telephone Number	:	801-416-8247
Fax Number	:	801-416-8248

Provider Business Practice Location Address
First Line	:	2363 N HILL FIELD RD
Second Line	:	SUITE #7
City	:	LAYTON
State	:	UT
Zip	:	84041-6909
Country	:	US
Telephone Number	:	801-416-8247
Fax Number	:	801-416-8248

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LEWIS D HARPER
Credential	:	D.C.
Telephone Number	:	801-416-8247

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	06/20/2013

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