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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 | |
Neurology |
111NN0400X | 35 | Chiropractic |
| NPI # | 1366703175 |
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| LBN Legal business name | DTK HOLDING CORP | ||||
| Authorized official | TREVOR BERRY - (OWNER/DOCTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/07/2012 | ||||
| Last updated | 06/07/2012 - About 14 years ago | ||||
| Identifiers |
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DTK HOLDING CORP
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| WELLNESS 1ST INTEGRATIVE MEDICAL CENTER, LLC 2451 E BASELINE RD STE 100 GILBERT, AZ |
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| JONATHAN J PETERSON, DC 3076 E. CHANDLER HEIGHTS RD. GILBERT, AZ |
| JEFFREY R BANAS 4540 E BASELINE MESA, AZ |
DTK HOLDING CORP