Stassi Chiropractic & Wellness Center LLC
Chiropractor in Bethalto, IL. Organization (NPI-2).
NPI number1508302985
StatusActive
Last updated in NPPESJan 10, 2017
Details
- NPI
- 1508302985
- Entity type
- Organization (NPI-2)
- Legal business name
- Stassi Chiropractic & Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Jan 10, 2017
- Last updated
- Jan 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038012925 | IL | Yes |
Practice location
112 W Bethalto BlvdBethalto, IL 62010-1703
Phone 618-717-0621 · Fax 618-717-0622
Mailing address
112 W Bethalto BlvdBethalto, IL 62010-1703
Phone 618-717-0621 · Fax 618-717-0622
Authorized official
Kory J Stassi
Owner
6187170621
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All 10 Chiropractor providers in Bethalto · All 98 providers in Bethalto
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