Organization · Type 2 NPI

Tri-State Sport and Spine, PLLC

Chiropractor · Philadelphia, PA

NPI number 1902200876 Active

Practice location

9331 Old Bustleton Ave, Suite 101
Philadelphia, PA 19115-4204

Call (215) 251-8526 Map

Fax (215) 673-1980

Mailing address

110 Wharton St
Philadelphia, PA 19147-5425

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC010688 (PA)

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 1902200876

Tri-State Sport and Spine, PLLC's National Provider Identifier is 1902200876, issued on Oct 21, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 21, 2014.