Provider Demographics
NPI:1588976195
Name:CHRISTENSEN, JON AARON (DC)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:AARON
Last Name:CHRISTENSEN
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 1:3075 W 7800 S
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-2802
Mailing Address - Country:US
Mailing Address - Phone:801-565-9500
Mailing Address - Fax:801-304-7046
Practice Address - Street 1:3075 W 7800 S
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-2802
Practice Address - Country:US
Practice Address - Phone:801-565-9500
Practice Address - Fax:801-304-7046
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5724675-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor