BROADMOOR CHIROPRACTIC CLINIC is a chiropractor in Shreveport, LA. 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. BROADMOOR CHIROPRACTIC CLINIC NPI is 1821122904. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5805 E KINGS HWY
SHREVEPORT, LA
ZIP 71105-303
Phone: (318) 868-5009
Fax: (318) 865-4451
The provider's authorized official is Christina Marie Randolph .
The authorized official title is Office Manager and has the following contact phone number (318) 868-5009.
The CLIA number assigned to this NPI record is 19D1077682 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.