Provider Demographics
NPI:1194414409
Name:FIFE, COLBEY CHAD (DC)
Entity type:Individual
Prefix:DR
First Name:COLBEY
Middle Name:CHAD
Last Name:FIFE
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 1:14241 S REDWOOD RD UNIT A103
Mailing Address - Street 2:
Mailing Address - City:BLUFFDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84065-5223
Mailing Address - Country:US
Mailing Address - Phone:435-557-0073
Mailing Address - Fax:
Practice Address - Street 1:14241 S REDWOOD RD UNIT A103
Practice Address - Street 2:
Practice Address - City:BLUFFDALE
Practice Address - State:UT
Practice Address - Zip Code:84065-5223
Practice Address - Country:US
Practice Address - Phone:435-557-0073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13370643-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor