MEDICARE: PAGE CHIROPRACTIC & WELLNESS CENTER, 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	261Q00000X	Clinic/Center	47-808871202	UT

General Provider Information

NPI Number	:	1750528030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAGE CHIROPRACTIC & WELLNESS CENTER, PC

Provider Business Mailing Address
First Line	:	7084 S 2300 E
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3968
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7084 S 2300 E
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3968
Country	:	US
Telephone Number	:	801-550-2846
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL W. PAGE
Credential	:	D.C.
Telephone Number	:	801-550-2846

Provider Enumeration Date	:	01/08/2009
Last Update Date	:	01/08/2009

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