Organization · Type 2 NPI
Core Activated Rehab 2 LLC
Chiropractor · Southlake, TX
NPI number
1104191709
Active
Practice location
1800 East Highway 114, Suite 101
Southlake, TX 76090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 11687 (TX) |
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 1104191709
Core Activated Rehab 2 LLC's National Provider Identifier is 1104191709, issued on Mar 14, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Southlake, TX. The record was last updated on Mar 14, 2012.