CHIROPRACTIC PLACE LLC NPI 1619180908

NPI Information

CHIROPRACTIC PLACE LLC is a chiropractor in Fort Myers, FL. 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. CHIROPRACTIC PLACE LLC NPI is 1619180908. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Kaizen Wellness Inc.

The provider's business location address is:

7051 CYPRESS TER
SUITE 106
FORT MYERS, FL
ZIP 33907-822
Phone: (239) 887-3066
Fax: (239) 887-3074

The provider's authorized official is Chad Robert Luce .
The authorized official title is President and has the following contact phone number (239) 887-3066.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 2/26/2017.

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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