Southwest Spine & Rehab Tempe LLC
Chiropractor, Rehabilitation in Tempe, AZ. Organization (NPI-2).
NPI number1457076705
StatusActive
Last updated in NPPESOct 10, 2022
Details
- NPI
- 1457076705
- Entity type
- Organization (NPI-2)
- Legal business name
- Southwest Spine & Rehab Tempe LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2022
- Certification date
- Oct 10, 2022
- Last updated
- Oct 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | – | – | Yes |
| 208VP0000X | – | – |
Practice location
1001 E Warner Rd Ste 107Tempe, AZ 85284-3224
Phone 480-897-3300
Mailing address
1001 E Warner Rd Ste 107Tempe, AZ 85284-3224
Phone 480-897-3300
Authorized official
Scott Taylor
Sole Member
4802995916
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