Organization · Type 2 NPI

Austin Lake Chiropractic Inc.

Chiropractor · Portage, MI

NPI number 1255409645 Active

Practice location

8827 Portage Rd
Portage, MI 49002-6415

Fax (269) 323-2970

Mailing address

8827 Portage Rd.
Portage, MI 49002-6415

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2301007246 (MI)
Durable Medical Equipment & Medical Supplies 332B00000XNone 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 1255409645

Austin Lake Chiropractic Inc.'s National Provider Identifier is 1255409645, issued on Dec 1, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portage, MI. The record was last updated on Oct 28, 2010.