SPORTS AND FUNCTIONAL MEDICINE NPI 1174829584

NPI Information

SPORTS AND FUNCTIONAL MEDICINE is a chiropractor in Scottsdale, AZ. 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 AND FUNCTIONAL MEDICINE NPI is 1174829584. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9316 E RAINTREE DR
SUITE 140
SCOTTSDALE, AZ
ZIP 85260-005
Phone: (480) 614-2322
Fax: (480) 614-2522

The provider's authorized official is Simon Mark Billingham .
The authorized official title is President and has the following contact phone number (480) 614-2322.

The enumeration date for this NPI number is 2/2/2011 and was last updated on 3/2/2011.

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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