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ELITE ORTHO-THERAPY AND SPORTS MEDICINE LLC NPI 1174869259


NPI Information

NPI: 1174869259
Provider Name: ELITE ORTHO-THERAPY AND SPORTS MEDICINE, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2125 LOUISIANA BLVD NE
SUITE 160
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 252-4080
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ELITE ORTHO-THERAPY AND SPORTS MEDICINE, LLC is a chiropractor in Albuquerque, NM. The provider is 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. ELITE ORTHO-THERAPY AND SPORTS MEDICINE, LLC NPI is 1174869259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2125 LOUISIANA BLVD NE
SUITE 160
ALBUQUERQUE, NM
ZIP 87110-416
Phone: (505) 252-4080

The provider's authorized official is Beau B Hightower .
The authorized official title is Owner and has the following contact phone number (505) 252-4080.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 12/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1994NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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