Provider Demographics
NPI:1225609373
Name:ANTLER POINT CHIROPRACTIC & SPORTS MEDICINE
Entity Type:Organization
Organization Name:ANTLER POINT CHIROPRACTIC & SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BANGERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-328-0028
Mailing Address - Street 1:3424 N 190TH PLZ
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-3553
Mailing Address - Country:US
Mailing Address - Phone:402-979-7575
Mailing Address - Fax:402-979-7575
Practice Address - Street 1:3424 N 190TH PLZ
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-3553
Practice Address - Country:US
Practice Address - Phone:402-328-0028
Practice Address - Fax:402-328-0049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty