Individual provider · Type 1 NPI
Tracy Glen Bagwell, DC
Chiropractor · Huntsville, AL
NPI number
1821028325
Active
Practice location
2227 Drake Avenue, Suite 13
Huntsville, AL 35805
Fax (256) 880-8838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | AL1224 (AL) |
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 1821028325
Tracy Glen Bagwell, DC's National Provider Identifier is 1821028325, issued on Jul 3, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Huntsville, AL. The record was last updated on Jul 8, 2007.