Organization · Type 2 NPI

Mountainside Wellness Center Inc

Chiropractor · Phoenix, AZ

NPI number 1053583450 Active

Practice location

16515 S 40th St Ste 129
Phoenix, AZ 85048-0560

Mailing address

4909 E Chandler Blvd Ste 502
Phoenix, AZ 85048-0863

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X7077 (AZ)
Physical Medicine & Rehabilitation Physician 208100000X3751 (AZ)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1053583450

Mountainside Wellness Center Inc's National Provider Identifier is 1053583450, issued on Mar 26, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 8, 2023.