MEDICARE: VALLEY VIEW HEALTH & WELLNESS

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	5501297-1202	UT

General Provider Information

NPI Number	:	1841524840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY VIEW HEALTH & WELLNESS

Provider Business Mailing Address
First Line	:	9035 S 1300 E
Second Line	:	STE 1B
City	:	SANDY
State	:	UT
Zip	:	84094-3132
Country	:	US
Telephone Number	:	801-569-8787
Fax Number	:	801-569-0376

Provider Business Practice Location Address
First Line	:	9035 S 1300 E
Second Line	:	STE 1B
City	:	SANDY
State	:	UT
Zip	:	84094-3132
Country	:	US
Telephone Number	:	801-569-8787
Fax Number	:	801-569-0376

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSICIAN
Name	:	DR. NATHAN T ELDREDGE
Credential	:	D.C.
Telephone Number	:	801-569-8787

Provider Enumeration Date	:	09/23/2009
Last Update Date	:	08/02/2010

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Directions to “VALLEY VIEW HEALTH & WELLNESS ” Practice Location

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