Dr. Brandon Imada
Chiropractic Sports Physician
12371 S 900 E Ste 101
Draper
, Utah 84020-9834
Dr. Brandon Imada
Chiropractic Sports Physician
12371 S 900 E Ste 101
Draper
, Utah 84020-9834
(385) 529-5922
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Brandon Imada
- 12371 S 900 E Ste 101
- Draper, UT
- Zip : 84020-9834
- Fax : (385) 529-5922
- Phone : (801) 544-2355
Second Address
- Dr. Brandon Imada
- 12371 S 900 E Ste 101
- Draper, UT
- Zip : 84020-9834
- Fax : (385) 529-5922
- Phone : (801) 544-2355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 12206047-1202 | UT |
National Provider Identifier
| NPI | 1174294839 |
|---|---|
| Provider Name | Dr. Brandon Imada |
| First Address | Draper, UT 84020-9834 |
| Second Address | Draper, UT 84020-9834 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2021 |
| Last Update Date | 22/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.