Provider Demographics
NPI:1730248097
Name:BARBER, TODD R (DC)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:R
Last Name:BARBER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 W 5300 S
Mailing Address - Street 2:STE 150
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-5684
Mailing Address - Country:US
Mailing Address - Phone:801-263-0530
Mailing Address - Fax:801-281-5583
Practice Address - Street 1:525 W 5300 S
Practice Address - Street 2:SUITE 150
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-5682
Practice Address - Country:US
Practice Address - Phone:801-263-0530
Practice Address - Fax:801-281-5583
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ7697111N00000X
UT363994-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ204576581OtherTAX ID NUMBER