Provider Demographics
NPI:1528456464
Name:SCHULZ, JENNIFER (DC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SCHULZ
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 1:495 E 4500 S
Mailing Address - Street 2:SUITE #104
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-9998
Mailing Address - Country:US
Mailing Address - Phone:801-281-1688
Mailing Address - Fax:801-281-5544
Practice Address - Street 1:495 E 4500 S
Practice Address - Street 2:SUITE #104
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-9998
Practice Address - Country:US
Practice Address - Phone:801-281-1688
Practice Address - Fax:801-281-5544
Is Sole Proprietor?:No
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9175677-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor