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SOUTHWEST SPINE & REHAB PLLC NPI 1912331158


NPI Information

NPI: 1912331158
Provider Name: SOUTHWEST SPINE & REHAB PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2919 S ELLSWORTH RD
SUITE 102
MESA, AZ
ZIP 85212
Phone: (480) 354-2008
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SOUTHWEST SPINE & REHAB PLLC is a chiropractor in Mesa, 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. SOUTHWEST SPINE & REHAB PLLC NPI is 1912331158. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2919 S ELLSWORTH RD
SUITE 102
MESA, AZ
ZIP 85212-164
Phone: (480) 354-2008
Fax: (480) 907-1322

The provider's authorized official is Scott Alexander Taylor .
The authorized official title is Chiropractor/owner and has the following contact phone number (480) 354-2008.

The enumeration date for this NPI number is 8/23/2013 and was last updated on 10/14/2013.


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
1111N00000XChiropractor8239ARIZONAYes

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: 4/28/2024

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