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

Sports Chiropractic of Utah LLC

Organization Chiropractor · NPI 1104372184

Sports Chiropractic of Utah LLC is a Chiropractor in Midvale, Utah. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6717 S 900 E Ste 101
Midvale, UT 84047-5755
Phone: (406) 381-7577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1104372184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Mousley — Owner · (406) 381-7577
NPI enumeratedAugust 30, 2016
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address6717 S 900 E Ste 101, Midvale, UT 84047-5755

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