Provider Demographics
NPI:1063512580
Name:DRANEY, ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:DRANEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7613 S JORDAN LANDING BLVD
Mailing Address - Street 2:120
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84084-1972
Mailing Address - Country:US
Mailing Address - Phone:801-280-2548
Mailing Address - Fax:801-280-2658
Practice Address - Street 1:7613 S JORDAN LANDING BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84084-1973
Practice Address - Country:US
Practice Address - Phone:801-280-2548
Practice Address - Fax:801-280-2658
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4780882-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU83890Medicare UPIN
UT000056287Medicare ID - Type Unspecified