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HEALTHSOURCE OF MUSCLE SHOALS NPI 1700364049


NPI Information

NPI: 1700364049
Provider Name: HEALTHSOURCE OF MUSCLE SHOALS
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3312 WOODWARD AVE
MUSCLE SHOALS, AL
ZIP 35661
Phone: (256) 520-9369
Get Directions

HEALTHSOURCE OF MUSCLE SHOALS is a chiropractor in Muscle Shoals, AL. 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. HEALTHSOURCE OF MUSCLE SHOALS NPI is 1700364049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3312 WOODWARD AVE
MUSCLE SHOALS, AL
ZIP 35661-332
Phone: (256) 520-9369
Fax: (256) 251-6220

The provider's authorized official is Kyle Ray Gvillo .
The authorized official title is Chiropractor and has the following contact phone number (256) 520-9369.

The enumeration date for this NPI number is 7/30/2018 and was last updated on 7/30/2018.


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
1111N00000XChiropractor2575ALABAMAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11730666223OTHERALABAMACHIROPRACTOR

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: 11/14/2023

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