Organization · Type 2 NPI
Dynamic Spine and Sports Therapy
Chiropractor · Kennesaw, GA
NPI number
1659629723
Active
Practice location
3400 Blue Springs Rd NW, Suite 100
Kennesaw, GA 30144-1079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 055355792 (GA) |
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 1659629723
Dynamic Spine and Sports Therapy's National Provider Identifier is 1659629723, issued on Aug 21, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kennesaw, GA. The record was last updated on Aug 21, 2012.