Organization · Type 2 NPI
Mustang Chiropractic, LLC
Chiropractor · Lakeside, AZ
NPI number
1972706786
Active
Practice location
218 W. White Mountain Blvd., Suite B
Lakeside, AZ 85929
Fax (928) 367-2241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 7506 (AZ) |
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 1972706786
Mustang Chiropractic, LLC's National Provider Identifier is 1972706786, issued on Jun 8, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lakeside, AZ. The record was last updated on Oct 22, 2007.