Organization · Type 2 NPI

Back Room

Chiropractor · Gulfport, MS

NPI number 1386905412 Active

Practice location

15312 Dedeaux Rd, Suite A
Gulfport, MS 39503-3123

Call (228) 331-2035 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1162 (MS)

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 1386905412

Back Room's National Provider Identifier is 1386905412, issued on Jun 5, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gulfport, MS. The record was last updated on Jun 13, 2012.