Provider Type Icon

PRO SPINE AND SPORT LLC NPI 1912385816


NPI Information

NPI: 1912385816
Provider Name: PRO SPINE AND SPORT, LLC
Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
943 AUTOMATION WAY
A1
MEDFORD, OR
ZIP 97504
Phone: (541) 944-8404
Get Directions

PRO SPINE AND SPORT, LLC is a sports physician chiropractor in Medford, OR. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. PRO SPINE AND SPORT, LLC NPI is 1912385816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

943 AUTOMATION WAY
A1
MEDFORD, OR
ZIP 97504-192
Phone: (541) 944-8404

The provider's authorized official is Corey O'neill .
The authorized official title is Owner/physician and has the following contact phone number (541) 944-8404.

The enumeration date for this NPI number is 5/12/2015 and was last updated on 9/9/2015.


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
1111NS0005XChiropractorSports Physician5507OREGONYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.