Provider Demographics
NPI:1881964971
Name:FRANDSEN, CHAD KENDALL (DC)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:KENDALL
Last Name:FRANDSEN
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 1:8706 S 700 E
Mailing Address - Street 2:STE 103
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-1807
Mailing Address - Country:US
Mailing Address - Phone:801-508-2996
Mailing Address - Fax:801-508-2981
Practice Address - Street 1:8706 S 700 E
Practice Address - Street 2:STE 103
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-1807
Practice Address - Country:US
Practice Address - Phone:801-508-2996
Practice Address - Fax:801-508-2981
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5694081-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor