Organization · Type 2 NPI

Ultimate Performance Sports and Rehab LLC

Chiropractor · Lake Charles, LA

NPI number 1902163157 Active

Practice location

313 Alamo St, Suite B
Lake Charles, LA 70601-8528

Call (337) 523-0776 Map

Mailing address

PO Box 4610
Lake Charles, LA 70606-4610

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

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 1902163157

Ultimate Performance Sports and Rehab LLC's National Provider Identifier is 1902163157, issued on Apr 12, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Charles, LA. The record was last updated on Sep 13, 2012.