INDIAN TRAIL CHIROPRACTIC & REHABILITATION P.A. NPI 1720033632

NPI Information

NPI: 1720033632
Provider Name: INDIAN TRAIL CHIROPRACTIC & REHABILITATION, P.A.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address: 100 PARK RD E
INDIAN TRAIL, NC
ZIP 28079
Phone: (704) 821-3222

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NPI Details

INDIAN TRAIL CHIROPRACTIC & REHABILITATION, P.A. is a chiropractor in Indian Trail, NC. 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. INDIAN TRAIL CHIROPRACTIC & REHABILITATION, P.A. NPI is 1720033632. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 PARK RD E
INDIAN TRAIL, NC
ZIP 28079-622
Phone: (704) 821-3222
Fax: (704) 821-3290

The provider's authorized official is Andrew Michael Evec .
The authorized official title is Owner and has the following contact phone number (704) 821-3222.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 8/22/2020.

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	License Number	License State	Primary
1	111N00000X	Chiropractor	2732	NORTH CAROLINA	Yes
2	225100000X	Physical Therapist			X
3	225X00000X	Occupational Therapist			X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0840Q	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD
2	P00101615	OTHER	NORTH CAROLINA	RAIL ROAD MEDICARE

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: 3/30/2025

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