Wellness Ventures
Chiropractor in Phoenix, AZ. Organization (NPI-2).
NPI number1568898112
StatusActive
Last updated in NPPESSep 15, 2013
Details
- NPI
- 1568898112
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellness Ventures
- Organization subpart
- No
- Enumeration date
- Sep 15, 2013
- Last updated
- Sep 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 7980 | AZ | Yes |
Other names
- Collision Chiropractic (Doing Business As)
Practice location
5130 N 19th Ave Ste 3Phoenix, AZ 85015-3222
Phone 480-440-3289
Mailing address
714 E Hampton CtGilbert, AZ 85295-5917
Phone 480-440-3289
Authorized official
Jeffrey Rogers
Owner
4804403289
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