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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Naturopath |
175F00000X | |||
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1326516089 |
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| LBN Legal business name | COMMUNITY CHIROPRACTIC SPINE & SPORT PLLC | ||||
| Authorized official | DARRYL KOCH - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/10/2018 | ||||
| Last updated | 11/10/2018 - About 8 years ago | ||||
| Identifiers |
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COMMUNITY CHIROPRACTIC SPINE & SPORT PLLC