ULTIMATE PERFORMANCE SPORTS AND REHAB LLC NPI 1902163157

NPI Information

ULTIMATE PERFORMANCE SPORTS AND REHAB LLC is a chiropractor in Lake Charles, 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. ULTIMATE PERFORMANCE SPORTS AND REHAB LLC NPI is 1902163157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

313 ALAMO ST
SUITE B
LAKE CHARLES, LA
ZIP 70601-528
Phone: (337) 523-0776

The provider's authorized official is Jeremy Ross Ward .
The authorized official title is Owner and has the following contact phone number (337) 523-0776.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 9/13/2012.

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:

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