OrganizationActive
Provo Sports and Family Chiropractic, Inc.
NPI 1003088402 · Sports Physician Chiropractor · Provo, UT
Provider details
- NPI number
- 1003088402
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Eric Brady, Chiropractor(801) 375-2420
- License
- 355063-1202 (UT)
Specialties & taxonomies
Chiropractic Providers
Practice location
777 N 500 W Ste 205
Provo, UT 84601-1596
Phone: (801) 375-2420
Fax: (801) 374-8588
Approximate (ZIP-level) locationGet directions
Mailing address
777 N 500 W Ste 205
Provo, UT 84601-1596
Registry dates
- Enumerated
- 2008-03-26
- Last updated
- 2008-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.