Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 7225838-1202 | UT |
N | 111NN1001X | Nutrition | 7225838-1202 | UT |
N | 111NP0017X | Pediatric Chiropractor | 7225838-1202 | UT |
N | 111NR0400X | Rehabilitation Chiropractor | 7225838-1202 | UT |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 7225838-1202 | UT |
NPI | 1689805038 |
---|---|
Provider Name | Dr. Keith C. Robbins |
First Address | Riverton, UT 84065-6037 |
Second Address | Riverton, UT 84065-6037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2009 |
Last Update Date | 03/08/2009 |