Organization · Type 2 NPI
Petersburg Spine & Sport Inc
Chiropractor · Petersburg, IL
NPI number
1639318173
Active
Practice location
115 E Douglas Ave
Petersburg, IL 62675-1558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038011323 (IL) |
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.
About NPI 1639318173
Petersburg Spine & Sport Inc's National Provider Identifier is 1639318173, issued on Feb 6, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Petersburg, IL. The record was last updated on Jan 5, 2015.