CUSTOM CHIROPRACTIC & WELLNESS CLINIC LLC NPI 1134565302

NPI Information

CUSTOM CHIROPRACTIC & WELLNESS CLINIC LLC is a chiropractor in Medford, OR. 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. CUSTOM CHIROPRACTIC & WELLNESS CLINIC LLC NPI is 1134565302. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1910 E BARNETT RD
STE #103
MEDFORD, OR
ZIP 97504-672
Phone: (541) 245-9544
Fax: (541) 245-9574

The provider's authorized official is Joshua David Fine .
The authorized official title is Owner/operator and has the following contact phone number (541) 245-9544.

The enumeration date for this NPI number is 5/15/2013 and was last updated on 5/15/2013.

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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