Organization · Type 2 NPI
Keough Chiropractic, Inc
Chiropractor · Grand Terrace, CA
NPI number
1104026913
Active
Practice location
12139 Mount Vernon Ave Ste 100
Grand Terrace, CA 92313-5519
Fax (909) 783-1008
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.
4 other providers at this address
About NPI 1104026913
Keough Chiropractic, Inc's National Provider Identifier is 1104026913, issued on Jul 19, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grand Terrace, CA. The record was last updated on Oct 31, 2008.