Provider Demographics
NPI:1699243352
Name:KING, ZACHARY B (DC)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:B
Last Name:KING
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 1:1098 W SOUTH JORDAN PKWY STE 111
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-9372
Mailing Address - Country:US
Mailing Address - Phone:801-427-9779
Mailing Address - Fax:
Practice Address - Street 1:1098 W SOUTH JORDAN PKWY STE 111
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-9372
Practice Address - Country:US
Practice Address - Phone:801-427-9779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-10
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10978992-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor