Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provo Sports and Family Chiropractic, Inc

Organization Sports Physician Chiropractor · NPI 1003088402

Provo Sports and Family Chiropractic, Inc is a Sports Physician Chiropractor in Provo, Utah. Licensed in Utah. Registered with an NPI since 2008.

Licensed in
UT
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

777 N 500 W Ste 205
Provo, UT 84601-1596
Phone: (801) 375-2420
Fax: (801) 374-8588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 355063-1202 (UT)

Record details

NPI number1003088402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Brady — Chiropractor · (801) 375-2420
NPI enumeratedMarch 26, 2008
Last updated in NPPESMarch 28, 2008
Mailing address777 N 500 W Ste 205, Provo, UT 84601-1596

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