Chase A Davidson, DC, CSCS
Chiropractor in Austin, TX. Individual provider (NPI-1).
NPI number1164052825
StatusActive
Last updated in NPPESJul 30, 2021
Details
- NPI
- 1164052825
- Entity type
- Individual (NPI-1)
- Name
- Chase A Davidson
- Credential
- DC, CSCS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2020
- Certification date
- Jul 30, 2021
- Last updated
- Jul 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 14470 | TX | Yes |
| 111N00000X | Chiropractor | CHR.0008161 | CO |
Practice location
208 W Powell LnAustin, TX 78753-5931
Phone 512-686-6611
Mailing address
3816 S Lamar Blvd Apt 2712Austin, TX 78704-7955
Phone 253-241-7803
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