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

Provo Sports and Family Chiropractic, Inc

Organization Sports Physician Chiropractor · NPI 1003088402

Provo Sports and Family Chiropractic, Inc provides Sports Physician Chiropractor services 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 Not confirmed with CMS for 18 years — call before visiting
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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