Spencer Reece Brauchla, DC
Chiropractor in Laotto, IN. Individual provider (NPI-1).
NPI number1164053773
StatusActive
Last updated in NPPESFeb 1, 2020
Details
- NPI
- 1164053773
- Entity type
- Individual (NPI-1)
- Name
- Spencer Reece Brauchla
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2020
- Certification date
- Feb 1, 2020
- Last updated
- Feb 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 08003146A | IN | Yes |
Practice location
6265 E 400 SLaotto, IN 46763-9772
Phone 260-318-5285
Mailing address
6265 E 400 SLaotto, IN 46763-9772
Phone 260-318-5285
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