Organization · NPI-2

Accident Spine & Rehab

Chiropractor, Rehabilitation · Birmingham, AL

NPI number1609207968
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1609207968
Entity type
Organization (NPI-2)
Legal business name
Accident Spine & Rehab
Organization subpart
No
Enumeration date
Dec 11, 2013
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NR0400X Chiropractor, Rehabilitation1932ALYes

Practice location

240 Gadsden Hwy
Birmingham, AL 35235-1006

Phone 205-561-6005 · Fax 205-201-5004

Mailing address

819 Mimosa Park Rd
Tuscaloosa, AL 35405-4839

Phone 205-752-7503

Other practice locations

2410 2nd St
Muscle Shoals, AL 35661-1265

Phone 256-383-5772

Authorized official

Brent Alan Tidwell
President
2563835772

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