Isa5417, LLC

Isa5417, LLC is a healthcare organization registered as Rehabilitation Chiropractor in Murray, UT, holding Type 2 (organization) NPI 1063176170 since 2021. The authorized official on file is Blanca Corrie, Managing Member.

✓ Active NPI ✓ Valid NPI checksum

NPI	1063176170
Entity type	Organization (Type 2)
Legal business name	Isa5417, LLC
Other name	<Unavail>
Practice address	154 E MYRTLE AVE STE 100, Murray, UT, 84107
Phone	8012105050
Fax	8012105050
Enumeration date	2021-10-25
Last updated in NPPES	2022-11-09

Authorized official

Name	Blanca Corrie
Title	Managing Member
Phone	2102494949

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
111NR0400X	Rehabilitation Chiropractor	Primary	—	—

Copy-ready billing details

Provider: Isa5417, LLC
NPI: 1063176170
Taxonomy: 111NR0400X (Rehabilitation Chiropractor)
Address: 154 E MYRTLE AVE STE 100, Murray, UT, 84107

Providers at this address

NPI	Name	Type	Specialty	Location
1699258954	Altavista Healthcare Group, LLC	Organization	Rehabilitation Clinic/Center	Murray, UT

Verify this record

Cross-check NPI 1063176170 against the authoritative CMS record: view Isa5417, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Isa5417, LLC located?

The practice location on file with NPPES is in Murray, UT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-11-09. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-11-09.