Organization · Type 2 NPI
Omaha Spine and Sport, Functional Chiropractic Center, PC
Chiropractor · Omaha, NE
NPI number
1407115488
Active
Practice location
15615 Pacific St Ste 106
Omaha, NE 68118-2118
Fax (402) 933-4857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1328 (NE) |
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.
5 other providers at this address
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About NPI 1407115488
Omaha Spine and Sport, Functional Chiropractic Center, PC's National Provider Identifier is 1407115488, issued on May 10, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Omaha, NE. The record was last updated on May 23, 2012.