Provider Demographics
NPI:1366045627
Name:SAGINAW FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:SAGINAW FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-847-7246
Mailing Address - Street 1:211 W MCLEROY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76179-1515
Mailing Address - Country:US
Mailing Address - Phone:817-847-7246
Mailing Address - Fax:
Practice Address - Street 1:211 W MCLEROY BLVD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179-1515
Practice Address - Country:US
Practice Address - Phone:817-847-7246
Practice Address - Fax:817-847-7247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty