Provider Demographics
NPI:1326882812
Name:PATTON, REBEKAH (DC)
Entity type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:
Last Name:PATTON
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 1:55 W UTOPIA AVE UNIT 730
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84115-2593
Mailing Address - Country:US
Mailing Address - Phone:860-333-4316
Mailing Address - Fax:
Practice Address - Street 1:466 E 500 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-3342
Practice Address - Country:US
Practice Address - Phone:801-363-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13974995-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor