Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Great Basin Spine and Sports

Organization Chiropractor · NPI 1639485014

Great Basin Spine and Sports provides Chiropractor services in Washington Terrace, Utah. Licensed in Utah. Registered with an NPI since 2010.

Licensed in
UT
In the registry since
2010

Practice location Address checks out

134 E 4600 S
Washington Terrace, UT 84405-5946 Not confirmed with CMS for 15 years — call before visiting
Phone: (801) 627-2023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 7617785-1202 (UT)

Record details

NPI number1639485014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Graves — Single Member · (801) 627-2023
NPI enumeratedAugust 24, 2010
Last updated in NPPESDecember 28, 2010
Mailing address134 E 4600 S, Washington Terrace, UT 84405-5946

Other providers in Washington Terrace