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SPORTS & SPINAL INJURY CLINICLLC NPI 1568791093


NPI Information

NPI: 1568791093
Provider Name: SPORTS & SPINAL INJURY CLINIC,LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6634 LAKE OTIS PKWY A
ANCHORAGE, AK
ZIP 99507
Phone: (907) 522-3511
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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 1568791093. 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
Phone: (907) 522-3511
Fax: (907) 522-8551

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

The enumeration date for this NPI number is 12/11/2009 and was last updated on 12/11/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor328TEXASYes

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: 11/14/2023

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