Provider Demographics
NPI:1730616590
Name:FRAMPTON, BRADEN NYLE (DC)
Entity type:Individual
Prefix:
First Name:BRADEN
Middle Name:NYLE
Last Name:FRAMPTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:BRADEN
Other - Middle Name:NYLE
Other - Last Name:FRAMPTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:196 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-2631
Mailing Address - Country:US
Mailing Address - Phone:801-785-9115
Mailing Address - Fax:
Practice Address - Street 1:196 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-2631
Practice Address - Country:US
Practice Address - Phone:801-785-9115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT95088641202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor