Provider Demographics
NPI:1427126515
Name:LUDDINGTON, BRETT SPIERS (DC)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:SPIERS
Last Name:LUDDINGTON
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 1:7430 S. CREEK RD.
Mailing Address - Street 2:STE 104
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-6160
Mailing Address - Country:US
Mailing Address - Phone:801-981-8795
Mailing Address - Fax:801-987-8051
Practice Address - Street 1:7430 S. CREEK RD.
Practice Address - Street 2:STE 104
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-6160
Practice Address - Country:US
Practice Address - Phone:801-981-8795
Practice Address - Fax:801-987-8051
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4806041-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT214913OtherALTIUS
UT000056281Medicare ID - Type UnspecifiedMEDICARE PROVIDER INFO. #