SPORTS & SPINAL INJURY CLINIC LLC NPI 1174719199

NPI Information

SPORTS & SPINAL INJURY CLINIC, LLC is a chiropractor in Anchorage, AK. 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. SPORTS & SPINAL INJURY CLINIC, LLC NPI is 1174719199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6634 LAKE OTIS PKWY
A
ANCHORAGE, AK
ZIP 99507-176
Phone: (907) 522-3511
Fax: (907) 522-8551

The provider's authorized official is Matthew K Huettl .
The authorized official title is Chiropractor and has the following contact phone number (907) 522-3511.

The enumeration date for this NPI number is 9/24/2007 and was last updated on 9/16/2010.

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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