Sport And Spine Chiropractic PLLC
Chiropractor in Tempe, AZ. Organization (NPI-2).
NPI number1194351379
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1194351379
- Entity type
- Organization (NPI-2)
- Legal business name
- Sport And Spine Chiropractic PLLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2020
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Other names
- Axis Spine And Sport (Doing Business As)
Practice location
2155 E University Dr Ste 111Tempe, AZ 85281-4685
Phone 480-454-4776
Mailing address
2155 E University Dr Ste 111Tempe, AZ 85281-4685
Phone 480-454-4776
Authorized official
Robert Dylan Hernandez
Owner
7022770578
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