Organization · Type 2 NPI
Formation Chiropractic, LLC
Chiropractor · Phoenix, AZ
NPI number
1073157178
Active
Practice location
3632 E Indian School Rd
Phoenix, AZ 85018-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
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 1073157178
Formation Chiropractic, LLC's National Provider Identifier is 1073157178, issued on Oct 31, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 31, 2019.