KACHINA HEALING CENTER LLC NPI 1336192871

NPI Information

KACHINA HEALING CENTER, LLC is a chiropractor in Prescott Valley, AZ. 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. KACHINA HEALING CENTER, LLC NPI is 1336192871. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Kachina Healing Center.

The provider's business location address is:

8363 E FLORENTINE RD
SUITE C
PRESCOTT VALLEY, AZ
ZIP 86314-971
Phone: (928) 772-4500
Fax: (928) 772-2622

The provider's authorized official is Anthony C. Mulberg .
The authorized official title is Member and has the following contact phone number (928) 772-4500.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 5/22/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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