Spine And Sport Of Slidell, LLC
Chiropractor in Slidell, LA. Organization (NPI-2).
NPI number1457100729
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1457100729
- Entity type
- Organization (NPI-2)
- Legal business name
- Spine And Sport Of Slidell, LLC
- Organization subpart
- No
- Enumeration date
- May 17, 2024
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
436 Old Spanish TrlSlidell, LA 70458-3904
Phone 985-641-4898
Mailing address
520 N Caleb DrSlidell, LA 70461-5713
Phone 985-290-0893
Authorized official
Kyle W Smith
Owner
9852900893
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All 30 Chiropractor providers in Slidell · All 2,622 providers in Slidell
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