Provider Demographics
NPI:1093990640
Name:REACH YOUR PEAK CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:REACH YOUR PEAK CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:V
Authorized Official - Last Name:MUSACCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-847-4044
Mailing Address - Street 1:2940 SENNA DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-6722
Mailing Address - Country:US
Mailing Address - Phone:704-847-4044
Mailing Address - Fax:704-844-9404
Practice Address - Street 1:2940 SENNA DR
Practice Address - Street 2:SUITE B
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-6722
Practice Address - Country:US
Practice Address - Phone:704-847-4044
Practice Address - Fax:704-844-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2187261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center