Individual provider · Type 1 NPI

Kyle Andrew Koenke, DC

Sports Physician Chiropractor · Mesa, AZ

NPI number 1497815575 Active

Practice location

1066 N Power Rd Ste 104
Mesa, AZ 85205-5709

Fax (480) 985-7255

Specialties and licenses

TaxonomyCodeLicense
Sports Physician Chiropractor Primary 111NS0005X7157 (AZ)

Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …

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About NPI 1497815575

Kyle Andrew Koenke, DC's National Provider Identifier is 1497815575, issued on Dec 11, 2006. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Mesa, AZ. The record was last updated on Jul 8, 2007.