Provider Demographics
NPI:1528040177
Name:SPRINTZ, KORI LYNN (DC, FIAMA)
Entity Type:Individual
Prefix:
First Name:KORI
Middle Name:LYNN
Last Name:SPRINTZ
Suffix:
Gender:F
Credentials:DC, FIAMA
Other - Prefix:
Other - First Name:KORI
Other - Middle Name:LYNN
Other - Last Name:SCHMIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC, FIAMA
Mailing Address - Street 1:2665 E BROADWAY RD
Mailing Address - Street 2:SUITE B112
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-1572
Mailing Address - Country:US
Mailing Address - Phone:480-610-5433
Mailing Address - Fax:480-610-5434
Practice Address - Street 1:2665 E BROADWAY RD
Practice Address - Street 2:SUITE B112
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-1572
Practice Address - Country:US
Practice Address - Phone:480-610-5433
Practice Address - Fax:480-610-5434
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ83260Medicare PIN