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NPI Code Detail

MEDICARE: WATTS LLC

MEDICARE: WATTS LLC
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
1111N00000XChiropractor51882401202UT

General Provider Information

NPI Number : 1629231287
Entity Type Code : Organization
Provider Name (Legal Business Name) : WATTS LLC
Provider Business Mailing Address
First Line : 1972 W 5400 S
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84118-1459
Country : US
Telephone Number : 801-613-4500
Fax Number :
Provider Business Practice Location Address
First Line : 1972 W 5400 S
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84118-1459
Country : US
Telephone Number : 801-613-4500
Fax Number :
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. JAY DEVIN WATTS
Credential : D.C.
Telephone Number : 801-631-4500
Provider Enumeration Date : 07/03/2008
Last Update Date : 07/03/2008

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Directions to “WATTS LLC ” Practice Location

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