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SPORT & SPINAL REHAB NPI 1356655740


NPI Information

NPI: 1356655740
Provider Name: SPORT & SPINAL REHAB
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
275 TONEY PENNA DR STE 12
JUPITER, FL
ZIP 33458
Phone: (561) 746-4242
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SPORT & SPINAL REHAB is a chiropractor in Jupiter, FL. 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. SPORT & SPINAL REHAB NPI is 1356655740. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

275 TONEY PENNA DR STE 12
JUPITER, FL
ZIP 33458-752
Phone: (561) 746-4242
Fax: (561) 746-7405

The provider's authorized official is Jaysen Torrey Sudnykovych .
The authorized official title is Owner and has the following contact phone number (561) 629-3501.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 7/28/2010.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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