Atlas Integrative Medicine, LLC
Chiropractor, Sports Physician in Shreveport, LA. Organization (NPI-2).
NPI number1619749702
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1619749702
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlas Integrative Medicine, LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | – | – | Yes |
Other names
- Aim Chiropractic (Doing Business As)
Practice location
1939 Southern Loop Ste OShreveport, LA 71106-8342
Phone 318-536-3155
Mailing address
2405 Line AveShreveport, LA 71104-3019
Phone 318-828-1517
Authorized official
Kyle Mayfield
Owner
3183663712
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