MEDICARE: UTAH CHRONIC PAIN CENTER, INC

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	4806041-1202	UT

General Provider Information

NPI Number	:	1336585413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UTAH CHRONIC PAIN CENTER, INC

Provider Business Mailing Address
First Line	:	1265 E FORT UNION BLVD
Second Line	:	STE 110
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84047-1808
Country	:	US
Telephone Number	:	801-996-8863
Fax Number	:	801-996-8869

Provider Business Practice Location Address
First Line	:	1265 E FORT UNION BLVD
Second Line	:	STE 110
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84047-1808
Country	:	US
Telephone Number	:	801-996-8863
Fax Number	:	801-996-8869

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. BRETT SPIERS LUDDINGTON
Credential	:	D.C.
Telephone Number	:	801-996-8825

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	05/16/2013

Similar Medicare Providers

1477578441 — DR. MATTHEW STEVEN NELSON P.T.
Practice Location Address:

1265 E FORT UNION BLVD , SUITE 110
COTTONWOOD HEIGHTS, UT
84047-1808

Practice Phone: 801-849-0198
Practice Fax: 801-849-0492

1649670878 — JESSICA NICOLE BAUERKEMPER PT, DPT
Practice Location Address:

1265 E FORT UNION BLVD , STE 110
COTTONWOOD HEIGHTS, UT
84047-1808

Practice Phone: 801-849-0198
Practice Fax: 801-849-0492

1669036331 — CORINNE SADECKI-LUND APRN
Practice Location Address:

13305 S RIDGELAND AVE
PALOS HEIGHTS, IL
60463-1808

Practice Phone: 708-361-6714
Practice Fax: 708-361-9514

1275574741 — NICHOLAS GIANOUKAKIS M.D.
Practice Location Address:

26 BLUEBIRD DR
ROSLYN HEIGHTS, NY
11577-1808

Practice Phone: 848-333-3366
Practice Fax:

1518909829 — OSWIECIMSKI, LTD
Practice Location Address:

13305 S RIDGELAND AVE , UNIT A
PALOS HEIGHTS, IL
60463-1808

Practice Phone: 708-388-0999
Practice Fax: 708-388-0992

1215021647 — C.G.PETERS LLC
Practice Location Address:

13305 S RIDGELAND AVE , UNIT B
PALOS HEIGHTS, IL
60463-1808

Practice Phone: 708-389-9226
Practice Fax: 708-389-2004

Directions to “UTAH CHRONIC PAIN CENTER, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.