Organization · Type 2 NPI
South Mountain Rehabilitation P.c.
Chiropractor · Phoenix, AZ
NPI number
1124176342
Active
Practice location
4804 E Chandler Blvd, 106
Phoenix, AZ 85048-0857
Fax (480) 785-5161
Mailing address
16016 S 45th Pl
Phoenix, AZ 85048-7635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5302 (AZ) |
| Physical Therapist | 225100000X | 2853 (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 1124176342
South Mountain Rehabilitation P.c.'s National Provider Identifier is 1124176342, issued on Jan 5, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 3, 2008.